ROBERT FULLER DEARBORN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036022603

License Status

INACTIVE

Business

First Name

ROBERT FULLER

Last Name

DEARBORN

Suffix

Business Name

ROBERT FULLER DEARBORN MD

Original Issue Date

08/13/1938

Effective Date

08/13/1938

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006