GINTA TERESA FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088000

License Status

NOT RENEWED

Business

First Name

GINTA

Middle

TERESA

Last Name

FULLER

Business Name

GINTA TERESA FULLER

Original Issue Date

11/20/2002

Effective Date

01/11/2011

Expiration Date

01/31/2013

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/20/2013