LAURA M FULLERTON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****99

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

FULLERTON

Business Name

LAURA M FULLERTON

Original Issue Date

05/19/2020

Effective Date

05/19/2020

Expiration Date

08/31/2022

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2022