BRITT ALLEN FULLER - Occupational Therapist License in Illinois | # 056006722

BRITT ALLEN FULLER

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006722

License Status

NOT RENEWED

Business

N

First Name

BRITT

Middle

ALLEN

Last Name

FULLER

Business Name

BRITT ALLEN FULLER

Original Issue Date

10/31/2002

Effective Date

12/15/2009

Expiration Date

12/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2012