BERDELL T FULLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041228318

License Status

NOT RENEWED

Business

First Name

BERDELL T

Last Name

FULLER

Business Name

BERDELL T FULLER

Original Issue Date

03/11/1985

Effective Date

03/11/1985

Expiration Date

05/31/1988

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006