License holder summary

JACQUELINE BAKER FULLAM is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for JACQUELINE BAKER FULLAM is Red Lion PA 17356. This licensed professional license is current. The license was granted 02/22/2012 and expired on 12/31/2016.

Pennsylvania

Department of State

JACQUELINE BAKER FULLAM
Direct Access Authorization - Physical Therapy
License number
DAPT002532
Date granted
02/22/2012
Date expires
12/31/2016
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
Red Lion PA 17356
palicensing.org
ID 17275969
LAST UPDATED 2024-03-18 22:41:26 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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