JAMES K FULLERTON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110732

License Status

ACTIVE

Business

First Name

JAMES K

Last Name

FULLERTON

Business Name

JAMES K FULLERTON

Original Issue Date

01/26/2004

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/09/2023