Mark Willis Fulton

Controlled Substance Registration - Dentist

Indiana  12008901B   Active

This Indiana license is held by Mark Willis Fulton. The license is currently active. It was granted on 06/26/1987 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12008901B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/26/1987 (about 38 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

3482 STATE ROAD 9 NORTH, ANDERSON IN 46012