BRANT ROBERT FULMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102591

License Status

NOT RENEWED

Business

First Name

BRANT

Middle

ROBERT

Last Name

FULMER

Suffix

Business Name

BRANT ROBERT FULMER MD

Original Issue Date

06/02/2000

Effective Date

06/02/2000

Expiration Date

07/31/2002

City

CHARLOTTESVILLE

State

Zip

2903

County

VIRGINIA

Ever Disciplined

LastModifiedDate

03/16/2009