ASHOK FULAMBARKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

ASHOK

Last Name

FULAMBARKER

Suffix

Business Name

ASHOK FULAMBARKER MD

Original Issue Date

01/01/1997

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

WADSWORTH

State

Zip

60083

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020