KATHLEEN MARIE FULLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

MARIE

Last Name

FULLER

Business Name

KATHLEEN MARIE FULLER

Original Issue Date

01/13/2005

Effective Date

04/21/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016