MAYA MAKEBA PULLIAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043120038

License Status

NOT RENEWED

Business

First Name

MAYA

Middle

MAKEBA

Last Name

PULLIAM

Business Name

MAYA MAKEBA PULLIAM

Original Issue Date

12/03/2014

Effective Date

11/14/2016

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2019