TODD D FULTON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041259212

License Status

INACTIVE

Business

First Name

TODD D

Last Name

FULTON

Business Name

TODD D FULTON

Original Issue Date

09/29/1990

Effective Date

04/06/2012

Expiration Date

05/31/2014

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2014