PHYLLIS MAE FULLMER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041120753

License Status

NOT RENEWED

Business

First Name

PHYLLIS MAE

Last Name

FULLMER

Business Name

PHYLLIS MAE FULLMER

Original Issue Date

03/13/1967

Effective Date

03/13/1967

Expiration Date

05/31/1988

City

ISSAQUAH

State

Zip

98027

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/27/2006