J ROBERT FULTS OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006841

License Status

INACTIVE

Business

First Name

Middle

ROBERT

Last Name

FULTS

Suffix

Business Name

J ROBERT FULTS OD

Original Issue Date

07/15/1976

Effective Date

03/22/2018

Expiration Date

09/30/2020

City

BROADWELL

State

Zip

62634

County

LOGAN

Ever Disciplined

LastModifiedDate

01/04/2020