DAVID AARON FULLERTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

DAVID AARON

Last Name

FULLERTON

Suffix

Business Name

DAVID AARON FULLERTON MD

Original Issue Date

09/12/1996

Effective Date

09/12/1996

Expiration Date

07/31/2005

City

WINNETKA

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006