JESSICA LYNN FULTON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LYNN

Last Name

FULTON

Business Name

JESSICA LYNN FULTON

Original Issue Date

11/14/2012

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

ALLENDALE

State

Zip

49401

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022