Idaho
Division of Occupational and Professional Licenses
JULIANNE FULLMER
Board Of Medicine
License number
PAT-1373
Date granted
12/11/2015
Date expires
10/31/2016
Class
Board Of Medicine
Status
Expired
Address
1010 136th St SW Everett WA 98204
idaholicensing.com
ID 48350469
LAST UPDATED 2024-03-06 21:58:52 UTC
LAST UPDATED 2024-03-06 21:58:52 UTC
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