Indiana
Professional Licensing Agency
CRIS A FULFORD
Physical Therapy Committee - Physical Therapist Assistant
License number
06000486A
Date granted
08/16/1984
Date expires
06/30/2004
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Expired
Address
EDWARDSPORT IN 47528
indianalicensing.org
ID 8362357
LAST UPDATED 2026-04-26 08:17:36 UTC
LAST UPDATED 2026-04-26 08:17:36 UTC
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