BRITTNE WYNNETTE FULLER Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004240

License Status

ACTIVE

Business

First Name

BRITTNE

Middle

WYNNETTE

Last Name

FULLER

Business Name

BRITTNE WYNNETTE FULLER

Original Issue Date

03/26/2015

Effective Date

12/03/2025

Expiration Date

12/31/2027

City

DORSEY

State

Zip

62021

County

MADISON

Ever Disciplined

LastModifiedDate

12/03/2025