SUSAN B FULLERTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012357

License Status

EXPIRED

Business

First Name

SUSAN B

Last Name

FULLERTON

Suffix

Business Name

SUSAN B FULLERTON MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

05/27/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006