NANCY M FULLER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003019

License Status

INACTIVE

Business

First Name

NANCY

Middle

Last Name

FULLER

Business Name

NANCY M FULLER

Original Issue Date

07/13/2001

Effective Date

03/21/2012

Expiration Date

05/31/2014

City

ROSEBURG

State

Zip

97471

County

OREGON

Ever Disciplined

LastModifiedDate

03/06/2014