KENNETH EDWARD FULTON Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000112

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

EDWARD

Last Name

FULTON

Business Name

KENNETH EDWARD FULTON

Original Issue Date

01/29/2002

Effective Date

12/17/2021

Expiration Date

09/30/2023

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/02/2024