AMY L FULTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041299211

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

FULTZ

Business Name

AMY L FULTZ

Original Issue Date

08/22/1996

Effective Date

05/20/2014

Expiration Date

05/31/2016

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

07/11/2016