KELLY R FULFORD Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083199

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

FULFORD

Business Name

KELLY R FULFORD

Original Issue Date

12/09/1998

Effective Date

12/26/2024

Expiration Date

01/31/2027

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/27/2025