ROBERT EARL FULLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

ROBERT EARL

Last Name

FULLER

Suffix

Business Name

ROBERT EARL FULLER MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006