BILLY RAY FULK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039782

License Status

NOT RENEWED

Business

First Name

BILLY RAY

Last Name

FULK

Suffix

Business Name

BILLY RAY FULK MD

Original Issue Date

07/01/1965

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

NORTH FORT MYERS

State

Zip

33917

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021