SUSAN B FULLERTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066489

License Status

NOT RENEWED

Business

First Name

SUSAN B

Last Name

FULLERTON

Suffix

Business Name

SUSAN B FULLERTON MD

Original Issue Date

05/04/1983

Effective Date

05/04/1983

Expiration Date

07/31/1999

City

TRUMBULL

State

Zip

06611

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/22/2011