EMMA FULLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

Title

DMD

First Name

EMMA

Last Name

FULLER

Business Name

EMMA FULLER DMD

Original Issue Date

07/12/2023

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

ROMEOVILLE

State

Zip

60446

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024