RODNEY MARK FULLMER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140749

License Status

ACTIVE

Business

Title

First Name

RODNEY

Middle

MARK

Last Name

FULLMER

Business Name

RODNEY MARK FULLMER DO

Original Issue Date

05/23/2016

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/24/2023