J ROBERT FULTS OD - Optometrist License in Illinois | # 047136841

J ROBERT FULTS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047136841

License Status

NOT RENEWED

Business

N

First Name

J

Middle

ROBERT

Last Name

FULTS

Suffix

OD

Business Name

J ROBERT FULTS OD

Original Issue Date

03/01/1995

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005