NANCY M FULLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

Last Name

FULLER

Business Name

NANCY M FULLER

Original Issue Date

01/09/2003

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012