KELLY D FULLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306087

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

FULLER

Business Name

KELLY D FULLER

Original Issue Date

09/19/1997

Effective Date

05/19/2024

Expiration Date

05/31/2026

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2026