SUSAN R FULTON Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002390

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

FULTON

Business Name

SUSAN R FULTON

Original Issue Date

07/09/1996

Expiration Date

06/30/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/31/2005