License holder summary

Douglas Leusby Fulk is a Physician licensed to practice in Indiana. The address on file for Douglas Leusby Fulk is Carbondale IL 62901. This licensed professional license is not current. The license was granted 12/30/2005 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Douglas Leusby Fulk
Physician
License number
01061611A
Date granted
12/30/2005
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Carbondale IL 62901
indianalicensing.org
ID 6035529
LAST UPDATED 2024-02-15 03:40:06 UTC

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