MARY M FULLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128065

License Status

ACTIVE

Business

First Name

MARY M

Last Name

FULLER

Business Name

MARY M FULLER

Original Issue Date

10/04/1968

Effective Date

04/18/2024

Expiration Date

05/31/2026

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

02/28/2026