KENNETH EDWARD FULTON - Orthotist, Prosthetist, and Pedorthist License in Missouri | # 211000112

KENNETH EDWARD FULTON

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000112

License Status

NOT RENEWED

Business

N

First Name

KENNETH

Middle

EDWARD

Last Name

FULTON

Business Name

KENNETH EDWARD FULTON

Original Issue Date

01/29/2002

Effective Date

12/17/2021

Expiration Date

09/30/2023

State

MO

Ever Disciplined

N

LastModifiedDate

02/02/2024