JOHN DALE FULK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001126

License Status

ACTIVE

Business

First Name

JOHN

Middle

DALE

Last Name

FULK

Business Name

JOHN DALE FULK

Original Issue Date

01/11/1999

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

01/05/2026