PATRICIA ANN FULTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133629

License Status

NOT RENEWED

Business

First Name

PATRICIA ANN

Last Name

FULTZ

Business Name

PATRICIA ANN FULTZ

Original Issue Date

11/19/1969

Effective Date

11/19/1969

Expiration Date

05/31/2008

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

07/11/2008