LATASHA D FULLER Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041359841

License Status

ACTIVE

Business

First Name

LATASHA

Middle

Last Name

FULLER

Business Name

LATASHA D FULLER

Original Issue Date

05/01/2007

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

02/28/2026