CHRYSTA LYNN FULKERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038722

License Status

NOT RENEWED

Business

First Name

CHRYSTA LYNN

Last Name

FULKERSON

Business Name

CHRYSTA LYNN FULKERSON

Original Issue Date

01/06/1976

Effective Date

01/14/2011

Expiration Date

01/31/2013

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

09/26/2013

Case Number

2008009708

Action

Probation

Discipline Start Date

08/11/2009

Discipline End Date

09/11/2013

Discipline Reason

due to a positive cocaine screen.