NATALIE L FULLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006528

License Status

NOT RENEWED

Business

First Name

NATALIE L

Last Name

FULLER

Business Name

NATALIE L FULLER

Original Issue Date

08/30/1991

Effective Date

08/30/1991

Expiration Date

09/30/2000

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005