License holder summary

Ronald Ray Fulkerson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Ronald Ray Fulkerson is 3929 East 3rd Street, Bloomington IN 47401. This licensed professional license is current. The license was granted 03/01/1988 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Ronald Ray Fulkerson
Controlled Substance Registration - Dentist
License number
12007022B
Date granted
03/01/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3929 East 3rd Street, Bloomington IN 47401
indianalicensing.org
ID 5083537
LAST UPDATED 2024-03-25 01:04:13 UTC

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