ELIZABETH A FULFORD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001550

License Status

ACTIVE

Business

First Name

ELIZABETH A

Last Name

FULFORD

Business Name

ELIZABETH A FULFORD

Original Issue Date

10/07/1992

Effective Date

09/14/2025

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/14/2025