License holder summary

Dr. COY B FULLEN Jr is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. COY B FULLEN Jr is 24006 N ROSEMEADOW LANE COLBERT WA 99005. This licensed professional license is current. The license was granted 11/08/2010 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. COY B FULLEN Jr
Board Of Medicine
License number
O-0589
Date granted
11/08/2010
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
24006 N ROSEMEADOW LANE COLBERT WA 99005
idaholicensing.com
ID 48350452
LAST UPDATED 2026-04-27 18:29:13 UTC

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