DAVID J FULTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

FULTON

Suffix

DDS

Business Name

DAVID J FULTON DDS

Original Issue Date

01/01/1998

Effective Date

09/21/2012

Expiration Date

09/30/2015

City

WAUKEGAN

State

Zip

60087

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016