MARY FULCHER GENE TAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041477826

License Status

ACTIVE

Business

First Name

MARY

Middle

FULCHER GENE

Last Name

TAN

Business Name

MARY FULCHER GENE TAN

Original Issue Date

04/04/2019

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

SOUTHAVEN

State

Zip

38672

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

03/01/2026