License holder summary

MATTHEW FULLER is a Physical Therapy Licensure Board - Physical Therapist licensed to practice in Idaho. The address on file for MATTHEW FULLER is ENCINITAS CA 92024. This licensed professional license is current. The license was granted 05/06/2016 and expired on 05/04/2018.

Idaho

Division of Occupational and Professional Licenses

MATTHEW FULLER
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4649
Date granted
05/06/2016
Date expires
05/04/2018
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
ENCINITAS CA 92024
idaholicensing.com
ID 43731247
LAST UPDATED 2026-05-07 03:48:18 UTC

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