KRISTEN P FULLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003114

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

FULLER

Business Name

KRISTEN P FULLER

Original Issue Date

09/30/1998

Effective Date

11/21/2013

Expiration Date

09/30/2015

City

PITTSBORO

State

Zip

27312

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/03/2015