SAMANTHA J FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041377235

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

FULLER

Business Name

SAMANTHA J FULLER

Original Issue Date

07/15/2009

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

01/14/2021