BONITA DALE FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041358132

License Status

NOT RENEWED

Business

First Name

BONITA

Middle

DALE

Last Name

FULLER

Business Name

BONITA DALE FULLER

Original Issue Date

01/31/2007

Effective Date

01/31/2007

Expiration Date

05/31/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/11/2008