The holder whose full name is FULKERSON, DAVID ALAN,come from Wabash IN,hold the Phys Ther Assistant license(NO.06001238A) which status is Expired.
| Name | FULKERSON, DAVID ALAN |
|---|---|
| License Number | 06001238A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Wabash |
| State | IN |