RICHARD JACKSON TULLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042923

License Status

NOT RENEWED

Business

First Name

RICHARD JACKSON

Last Name

TULLY

Suffix

Business Name

RICHARD JACKSON TULLY MD

Original Issue Date

09/16/1969

Effective Date

09/16/1969

City

CAMP LEJEUNE

State

Zip

28542

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006