VIVIAN FULTON - Physical Therapist License in Illinois | # 070003837

VIVIAN FULTON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003837

License Status

NOT RENEWED

Business

N

First Name

VIVIAN

Last Name

FULTON

Business Name

VIVIAN FULTON

Original Issue Date

11/08/1982

Effective Date

11/08/1982

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005