DAVID J FULTON JR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

DAVID J

Last Name

FULTON JR

Suffix

DDS

Business Name

DAVID J FULTON JR DDS

Original Issue Date

08/25/2021

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

WAUKEGAN

State

Zip

60087

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024