FAY L FULGHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066728

License Status

NOT RENEWED

Business

First Name

FAY L

Last Name

FULGHAM

Business Name

FAY L FULGHAM

Original Issue Date

01/19/1989

Effective Date

12/31/2008

Expiration Date

01/31/2011

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011

Case Number

1992005893

Action

Refuse To Renew

Discipline Start Date

10/15/1992

Discipline End Date

01/15/1993

Discipline Reason

Defaulted on Illinois Student Assistance loan.