KRISTOPHER ROGER FULTZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151194

License Status

ACTIVE

Business

Title

First Name

KRISTOPHER

Middle

ROGER

Last Name

FULTZ

Business Name

KRISTOPHER ROGER FULTZ DO

Original Issue Date

11/13/2019

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2023