RALPH L FULLER Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004819

License Status

INACTIVE

Business

First Name

RALPH L

Last Name

FULLER

Business Name

RALPH L FULLER

Expiration Date

03/31/1990

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

08/31/2005