J ROBERT FULTS OD - Optometrist License in Illinois | # 047932211

J ROBERT FULTS OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932211

License Status

CANCELLED

Business

N

First Name

J

Middle

ROBERT

Last Name

FULTS

Suffix

OD

Business Name

J ROBERT FULTS OD

Original Issue Date

05/04/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010