Idaho
Division of Occupational and Professional Licenses
Dr. DANIEL RICHARDS FULLMER
Board Of Medicine
License number
M-12249
Date granted
12/16/2013
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
19020 33RD AVE W Lynnwood WA 98036
idaholicensing.com
ID 48350467
LAST UPDATED 2024-04-18 01:32:03 UTC
LAST UPDATED 2024-04-18 01:32:03 UTC
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