License holder summary

BEN EDGAR FULTON is a Board Of Medicine licensed to practice in Idaho. The address on file for BEN EDGAR FULTON is 2147 Lakeline Avenue Salt Lake City UT 84109. This licensed professional license is not current. The license was granted 07/15/1973 and expired on 07/15/1973.

Idaho

Division of Occupational and Professional Licenses

BEN EDGAR FULTON
Board Of Medicine
License number
M-3171
Date granted
07/15/1973
Date expires
07/15/1973
Class
Board Of Medicine
Status
Canceled
Address
2147 Lakeline Avenue Salt Lake City UT 84109
idaholicensing.com
ID 48350471
LAST UPDATED 2024-04-14 04:03:15 UTC

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