PATRICK JAMES FULLERTON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038879

License Status

EXPIRED

Business

First Name

PATRICK

Middle

JAMES

Last Name

FULLERTON

Suffix

Business Name

PATRICK JAMES FULLERTON DO

Original Issue Date

10/21/1998

Effective Date

10/21/1998

Expiration Date

10/20/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006