ANDREA M FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089156

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

FULLER

Business Name

ANDREA M FULLER

Original Issue Date

10/30/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005