LOUIS FULTON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

LOUIS

Last Name

FULTON

Business Name

LOUIS FULTON

Original Issue Date

02/28/2022

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

BOSCOBEL

State

Zip

53805

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023