CONSTANCE M FULLER - Registered Nurse License in Illinois | # 041117950

CONSTANCE M FULLER

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117950

License Status

INACTIVE

Business

N

First Name

CONSTANCE M

Last Name

FULLER

Business Name

CONSTANCE M FULLER

Original Issue Date

08/03/1966

Effective Date

08/03/1966

Expiration Date

05/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006