JOHN MCDOWELL FULTZ JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

JOHN MCDOWELL

Last Name

FULTZ JR

Suffix

Business Name

JOHN MCDOWELL FULTZ JR MD

Original Issue Date

01/01/1997

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023