MARY MARGARET FULLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405472

License Status

INACTIVE

Business

First Name

MARY

Middle

MARGARET

Last Name

FULLER

Business Name

MARY MARGARET FULLER

Original Issue Date

08/24/2012

Effective Date

05/25/2016

Expiration Date

05/31/2018

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

03/06/2018