JENNA M FULKS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026739

License Status

ACTIVE

Business

First Name

JENNA

Middle

Last Name

FULKS

Business Name

JENNA M FULKS

Original Issue Date

07/02/2022

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

ROUND LAKE PARK

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

09/09/2024