KENNETH R FULLERTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041219549

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

FULLERTON

Business Name

KENNETH R FULLERTON

Original Issue Date

11/08/1983

Effective Date

05/05/2010

Expiration Date

05/31/2012

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012