KRISTOPHER ROGER FULTZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

KRISTOPHER

Middle

ROGER

Last Name

FULTZ

Business Name

KRISTOPHER ROGER FULTZ DO

Original Issue Date

02/18/2020

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023