License holder summary

Fuller, Phyllis Elaine is a Dietitian licensed to practice in Missouri. The address on file for Fuller, Phyllis Elaine is 5740 County Rd 408 , Fulton 65251. This licensed professional license is current. The license was granted 07/09/2001 and expired on 04/01/2014.

Missouri

Division of Professional Registration

Fuller, Phyllis Elaine
Dietitian
License number
2001015842  
Date granted
07/09/2001
Date expires
04/01/2014
Class
Dietitian
Status
Clear
Address
5740 County Rd 408 
licensingmissouri.org
ID 1171684
LAST UPDATED 2021-07-28 09:49:34 UTC

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