MARY L FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041147236

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

FULLER

Business Name

MARY L FULLER

Original Issue Date

12/14/1972

Effective Date

05/27/2020

Expiration Date

08/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/14/2022