DEBORAH L PULLIAM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

INACTIVE

Business

First Name

DEBORAH

Middle

Last Name

PULLIAM

Business Name

DEBORAH L PULLIAM

Original Issue Date

10/01/2019

Effective Date

06/16/2020

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62521

County

SHELBY

Ever Disciplined

LastModifiedDate

08/08/2022