SHARON S FULLENKAMP Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024821

License Status

NOT RENEWED

Business

First Name

SHARON S

Last Name

FULLENKAMP

Business Name

SHARON S FULLENKAMP

Original Issue Date

04/01/1969

Effective Date

12/28/2010

Expiration Date

01/31/2013

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/20/2013