ROBERT EARL FULLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058163

License Status

INACTIVE

Business

First Name

ROBERT EARL

Last Name

FULLER

Suffix

Business Name

ROBERT EARL FULLER MD

Original Issue Date

11/20/1978

Effective Date

11/20/1978

Expiration Date

07/31/1987

City

BLOOMFIELD HILLS

State

Zip

48013

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006