THOMAS LANCE FULGHUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084945

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

LANCE

Last Name

FULGHUM

Business Name

THOMAS LANCE FULGHUM MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/20/2024