BONNY FULLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041125177

License Status

INACTIVE

Business

First Name

BONNY

Last Name

FULLER

Business Name

BONNY FULLER

Original Issue Date

03/01/1968

Effective Date

08/12/2020

Expiration Date

08/31/2022

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

08/27/2022