MARY E FULLING Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128232

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

FULLING

Business Name

MARY E FULLING

Original Issue Date

10/04/1968

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/16/2010