ETHAN PULLUM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027967

License Status

ACTIVE

Business

First Name

ETHAN

Last Name

PULLUM

Business Name

ETHAN PULLUM

Original Issue Date

12/04/2023

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/26/2024