License holder summary

IRENE R. FULLAM is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for IRENE R. FULLAM is 15 POULIN AVE, LEWISTON, ME 04240-5143. This licensed professional license is not current. The license was granted 11/27/1978 and expired on 07/22/1992.

Maine

Office of Professional and Occupational Regulation

IRENE R. FULLAM
Nursing - Licensed Practical Nurse
License number
LPN5829
Date granted
11/27/1978
Date expires
07/22/1992
Class
Nursing - Licensed Practical Nurse
Status
Inactive
Address
15 POULIN AVE, LEWISTON, ME 04240-5143
mainelicensing.org
ID 21242852
LAST UPDATED 2024-02-15 01:45:44 UTC

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