WENDY LOUISE FULLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006540

License Status

ACTIVE

Business

First Name

WENDY

Middle

LOUISE

Last Name

FULLER

Business Name

WENDY LOUISE FULLER

Original Issue Date

08/19/2013

Effective Date

09/13/2025

Expiration Date

09/30/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/13/2025