JEFFREY W FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076394

License Status

NOT RENEWED

Business

First Name

JEFFREY W

Last Name

FULLER

Business Name

JEFFREY W FULLER

Original Issue Date

10/15/1994

Effective Date

12/13/2004

Expiration Date

01/31/2007

City

BYRON

State

Zip

61010

Ever Disciplined

LastModifiedDate

03/16/2007