PAMELA S FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087919

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

Last Name

FULLER

Business Name

PAMELA S FULLER

Original Issue Date

10/23/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

ATLANTA

State

Zip

61723

County

LOGAN

Ever Disciplined

LastModifiedDate

10/15/2005