MAYA MAKEBA PULLIAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041471065

License Status

NOT RENEWED

Business

First Name

MAYA

Middle

MAKEBA

Last Name

PULLIAM

Business Name

MAYA MAKEBA PULLIAM

Original Issue Date

10/05/2018

Effective Date

10/05/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

01/14/2021