ZACHARY J FULTON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

ZACHARY

Middle

Last Name

FULTON

Business Name

ZACHARY J FULTON MD

Original Issue Date

07/26/2004

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

MENDOTA

State

Zip

61342

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023