PAUL DAVID FULLING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106473

License Status

ACTIVE

Business

First Name

PAUL

Middle

DAVID

Last Name

FULLING

Suffix

Business Name

PAUL DAVID FULLING MD

Original Issue Date

03/11/2002

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

05/25/2023