FULFER, THOMAS DREW - Licensee Information

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

FULFER, THOMAS DREW

Practice Address:	TEXOMA ORTHOTIC AND PROSTHETICS 1915 WEST GORE BLVD SUITE 1 LAWTON OK 73501 Address last updated on 1/23/2023
Phone #:	(580) 699-8690
Fax #:
County:	COMANCHE
License:	73
Dated:	11/7/2019
Expires:	12/31/2026
Temp. Ltr. Issued:	8/13/2019
Temp. Ltr. Expires:	11/7/2019
License Type:	Licensed Orthotist
Specialty:

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
TEXOMA ORTHOTIC AND PROSTHETICS 1915 WEST GORE BLVD SUITE 1 LAWTON OK 73501 Phone #: (580) 699-8690 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
CONNIE M CHELENZA	LPO	92