PATRICK JAMES FULLERTON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119722

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

JAMES

Last Name

FULLERTON

Suffix

Business Name

PATRICK JAMES FULLERTON DO

Original Issue Date

11/20/2007

Effective Date

11/20/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/06/2010