DAVID BRADFIELD FULLER DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089036

License Status

INACTIVE

Business

First Name

DAVID BRADFIELD

Last Name

FULLER

Suffix

Business Name

DAVID BRADFIELD FULLER DO

Original Issue Date

07/18/1994

Effective Date

07/18/1994

Expiration Date

07/31/1996

City

BAY MINETTE

State

Zip

36507

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/29/2010