License holder summary

WAYNE TEMPLETON FULLER is a Board Of Medicine licensed to practice in Idaho. The address on file for WAYNE TEMPLETON FULLER is 628 Thalia Point Rd Virginia Beach VA 23452. This licensed professional license is not current. The license was granted 09/08/2001 and expired on 08/01/2009.

Idaho

Division of Occupational and Professional Licenses

WAYNE TEMPLETON FULLER
Board Of Medicine
License number
M-8300
Date granted
09/08/2001
Date expires
08/01/2009
Class
Board Of Medicine
Status
Canceled
Address
628 Thalia Point Rd Virginia Beach VA 23452
idaholicensing.com
ID 48350465
LAST UPDATED 2024-04-09 10:45:25 UTC

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