MATTHEW NORMAN FULTON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001062

License Status

NOT RENEWED

Business

First Name

MATTHEW NORMAN

Last Name

FULTON

Business Name

MATTHEW NORMAN FULTON

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

07/01/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005