JANELL F FULLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037533

License Status

EXPIRED

Business

First Name

JANELL

Middle

Last Name

FULLER

Business Name

JANELL F FULLER

Original Issue Date

05/07/1998

Effective Date

05/07/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006