MAE FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016112

License Status

NOT RENEWED

Business

First Name

MAE

Last Name

FULLER

Business Name

MAE FULLER

Original Issue Date

09/16/1966

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005