BEN EDGAR FULTON
Idaho M-3171 Canceled
This Idaho license was held by BEN EDGAR FULTON. The license is no longer active. It was granted on 07/15/1973 and expired on 07/15/1973
LICENSE DETAILS
- License Number: M-3171
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 07/15/1973 (almost 52 years ago)
- Expiry Date: 07/15/1973 (almost 52 years ago)
LOCATIONS
A Residential
2147 Lakeline Avenue Salt Lake City UT 84109