DANIEL R FULK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128075

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

Last Name

FULK

Business Name

DANIEL R FULK DO

Original Issue Date

06/08/2011

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

JACKSON

Ever Disciplined

LastModifiedDate

04/17/2023