J ROBERT FULTS OD - Optometrist License in Illinois | # 047406841

J ROBERT FULTS OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047406841

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

09/04/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005