PAUL DAVID FULLING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

PAUL

Middle

DAVID

Last Name

FULLING

Suffix

Business Name

PAUL DAVID FULLING MD

Original Issue Date

10/13/2023

Effective Date

10/13/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60124

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2023