KIMBERLY E FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091158

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

FULLER

Business Name

KIMBERLY E FULLER

Original Issue Date

03/21/2005

Effective Date

01/20/2015

Expiration Date

01/31/2017

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/27/2017