MICHAEL FLEMING FULLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174871

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

FLEMING

Last Name

FULLER

Business Name

MICHAEL FLEMING FULLER MD

Original Issue Date

05/06/2025

Effective Date

05/06/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

Ever Disciplined

LastModifiedDate

03/25/2026