DANIEL RICHARDS FULLMER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164867

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

RICHARDS

Last Name

FULLMER

Business Name

DANIEL RICHARDS FULLMER MD

Original Issue Date

05/30/2023

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

CENTERVILLE

State

Zip

84014

Ever Disciplined

LastModifiedDate

05/30/2023