JAMES K FULLERTON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039030

License Status

EXPIRED

Business

First Name

JAMES K

Last Name

FULLERTON

Business Name

JAMES K FULLERTON

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006