FULTON LOUIS PORTER III MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

FULTON

Middle

LOUIS

Last Name

PORTER

Suffix

III MD

Business Name

FULTON LOUIS PORTER III MD

Original Issue Date

09/18/2001

Effective Date

01/12/2024

Expiration Date

07/31/2026

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2024