JAMES D FULLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047885

License Status

NOT RENEWED

Business

First Name

JAMES D

Last Name

FULLER

Suffix

Business Name

JAMES D FULLER MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

City

DURANGO

State

Zip

81301

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006