JOSEPH MATTHEW FULLMER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028120

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

MATTHEW

Last Name

FULLMER

Business Name

JOSEPH MATTHEW FULLMER

Original Issue Date

08/17/2009

Effective Date

08/17/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012