BRITT ALLEN FULLER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006722

License Status

NOT RENEWED

Business

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

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

02/08/2012