JENNIFER L FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041365388

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

FULLER

Business Name

JENNIFER L FULLER

Original Issue Date

12/19/2007

Effective Date

05/03/2010

Expiration Date

05/31/2012

City

COOPERSTOWN

State

Zip

13326

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/10/2012