Idaho
Division of Occupational and Professional Licenses
Dr. LETA FULLER
Board Of Medicine
License number
M-13154
Date granted
01/21/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
4401 HARRISON BLVD. OGDEN UT 84403
idaholicensing.com
ID 48350457
LAST UPDATED 2024-02-08 15:20:56 UTC
LAST UPDATED 2024-02-08 15:20:56 UTC
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