CONSTANCE M FULLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041117950

License Status

INACTIVE

Business

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

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006