JOHN BRYANT FULLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001330

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

BRYANT

Last Name

FULLER

Business Name

JOHN BRYANT FULLER MD

Original Issue Date

01/06/2020

Effective Date

01/06/2020

Expiration Date

04/05/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

11/19/2020