SEAN PATRICK FULLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133135

License Status

ACTIVE

Business

Title

First Name

SEAN

Middle

PATRICK

Last Name

FULLAN

Business Name

SEAN PATRICK FULLAN MD

Original Issue Date

06/03/2013

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/04/2024