SAMANTHA J FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081907

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

FULLER

Business Name

SAMANTHA J FULLER

Original Issue Date

01/12/1998

Effective Date

12/01/2008

Expiration Date

01/31/2011

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

03/10/2011