License holder summary

Bradley Todd Fulkerson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Bradley Todd Fulkerson is 2345 West Franklin Street, Ste 101B, Evansville IN 47712. This licensed professional license is current. The license was granted 03/21/1997 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Bradley Todd Fulkerson
Controlled Substance Registration - Dentist
License number
12009862B
Date granted
03/21/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2345 West Franklin Street, Ste 101B, Evansville IN 47712
indianalicensing.org
ID 5091458
LAST UPDATED 2024-02-15 19:39:17 UTC

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