BILLY RAY FULK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

BILLY RAY

Last Name

FULK

Suffix

Business Name

BILLY RAY FULK MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020