DEBORAH L PULLIAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

DEBORAH

Middle

Last Name

PULLIAM

Business Name

DEBORAH L PULLIAM

Original Issue Date

01/19/2023

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026