DOUGLAS L FULK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091745

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

FULK

Suffix

Business Name

DOUGLAS L FULK MD

Original Issue Date

08/30/1995

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/12/2023