License holder summary

BRADLEY DEAN FULLER is a Board Of Medicine licensed to practice in Idaho. The address on file for BRADLEY DEAN FULLER is 1912 NW 12th St Meridian ID 83642. This licensed professional license is not current. The license was granted 07/11/2001 and expired on 06/30/2003.

Idaho

Division of Occupational and Professional Licenses

BRADLEY DEAN FULLER
Board Of Medicine
License number
M-8260
Date granted
07/11/2001
Date expires
06/30/2003
Class
Board Of Medicine
Status
Canceled
Address
1912 NW 12th St Meridian ID 83642
idaholicensing.com
ID 48350454
LAST UPDATED 2024-03-12 15:39:22 UTC

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