ROGER L FULTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012529

License Status

EXPIRED

Business

First Name

ROGER L

Last Name

FULTON

Suffix

Business Name

ROGER L FULTON MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/26/1983

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006