The holder whose full name is FULFORD, CRIS A,come from EDWARDSPORT IN,hold the Phys Ther Assistant license(NO.06000486A) which status is Expired.
| Name | FULFORD, CRIS A |
|---|---|
| License Number | 06000486A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | EDWARDSPORT |
| State | IN |