MARY ANNE FULTON - Physical Therapist License in Wisconsin | # 070002386

MARY ANNE FULTON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002386

License Status

NOT RENEWED

Business

N

First Name

MARY ANNE

Last Name

FULTON

Business Name

MARY ANNE FULTON

Original Issue Date

05/24/1977

Effective Date

05/24/1977

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005