JOSEPH B FULLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063252

License Status

NOT RENEWED

Business

First Name

JOSEPH B

Last Name

FULLER

Suffix

Business Name

JOSEPH B FULLER MD

Original Issue Date

09/17/1981

Effective Date

09/17/1981

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006