ROGER L FULTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

ROGER L

Last Name

FULTON

Suffix

Business Name

ROGER L FULTON MD

Original Issue Date

09/29/1982

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023