FULTON LOUIS PORTER III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101229

License Status

ACTIVE

Business

First Name

FULTON

Middle

LOUIS

Last Name

PORTER

Suffix

III MD

Business Name

FULTON LOUIS PORTER III MD

Original Issue Date

09/08/1999

Effective Date

01/12/2024

Expiration Date

07/31/2026

City

FLOSSMOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2024