BARBARA L FULLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056161

License Status

NOT RENEWED

Business

First Name

BARBARA L

Last Name

FULLER

Suffix

Business Name

BARBARA L FULLER MD

Original Issue Date

12/16/1977

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021