J ROBERT FULTS OD - Optometrist License in Illinois | # 047933743

J ROBERT FULTS OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933743

License Status

CANCELLED

Business

N

First Name

J

Middle

ROBERT

Last Name

FULTS

Suffix

OD

Business Name

J ROBERT FULTS OD

Original Issue Date

02/02/2008

Effective Date

02/02/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010