DOUGLAS C FULLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069266

License Status

INACTIVE

Business

First Name

DOUGLAS C

Last Name

FULLER

Suffix

Business Name

DOUGLAS C FULLER MD

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

07/31/1987

City

KAYSVILLE

State

Zip

84037

Ever Disciplined

LastModifiedDate

11/11/2013