ASHLEY DION FULKERSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018762

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

DION

Last Name

FULKERSON

Business Name

ASHLEY DION FULKERSON

Original Issue Date

09/23/2011

Effective Date

09/30/2014

Expiration Date

09/30/2016

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

11/26/2016