CHARLES WILLIAM FULLER Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041192220

License Status

INACTIVE

Business

First Name

CHARLES WILLIAM

Last Name

FULLER

Business Name

CHARLES WILLIAM FULLER

Original Issue Date

10/17/1979

Effective Date

05/03/2016

Expiration Date

05/31/2018

City

ROSEBURG

State

Zip

97471

County

OREGON

Ever Disciplined

LastModifiedDate

03/06/2018