CARLY OLEVIA FULLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041366915

License Status

INACTIVE

Business

First Name

CARLY

Middle

OLEVIA

Last Name

FULLER

Business Name

CARLY OLEVIA FULLER

Original Issue Date

03/18/2008

Effective Date

04/07/2010

Expiration Date

05/31/2012

City

WATERFORD

State

Zip

48329

County

MICHIGAN

Ever Disciplined

LastModifiedDate

03/08/2012