TONYA F FULLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023750

License Status

EXPIRED

Business

First Name

TONYA F

Last Name

FULLER

Business Name

TONYA F FULLER

Original Issue Date

05/10/1989

Effective Date

05/10/1989

Expiration Date

06/27/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006