BRIANNA KATHLEEN FULLENKAMP Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023007

License Status

INACTIVE

Business

First Name

BRIANNA

Middle

KATHLEEN

Last Name

FULLENKAMP

Business Name

BRIANNA KATHLEEN FULLENKAMP

Original Issue Date

08/02/2017

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

FORT MADISON

State

Zip

52627

Ever Disciplined

LastModifiedDate

11/01/2025