TIMOTHY JON FULTON Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000131

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

JON

Last Name

FULTON

Business Name

TIMOTHY JON FULTON

Original Issue Date

02/14/2003

Effective Date

02/04/2026

Expiration Date

04/30/2028

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/04/2026