SARA DAKOTA FULGHUM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015320

License Status

ACTIVE

Business

First Name

SARA

Middle

DAKOTA

Last Name

FULGHUM

Business Name

SARA DAKOTA FULGHUM

Original Issue Date

03/03/2023

Effective Date

12/04/2025

Expiration Date

12/31/2027

City

PLEASANT PRAIRIE

State

Zip

53158

Ever Disciplined

LastModifiedDate

12/04/2025