MARY ANNE FULTON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002386

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

FULTON

Business Name

MARY ANNE FULTON

Original Issue Date

05/24/1977

Effective Date

05/24/1977

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005