KRISTEN ANN FULTS-GANEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

ANN

Last Name

FULTS-GANEY

Suffix

Business Name

KRISTEN ANN FULTS-GANEY MD

Original Issue Date

03/06/2001

Effective Date

03/06/2001

Expiration Date

07/31/2005

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017