MICHELLE R FULLER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****12

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

FULLER

Business Name

MICHELLE R FULLER

Original Issue Date

11/07/2022

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026