BEN EDGAR FULTON
Idaho TLM-582 Upgraded
This Idaho license was held by BEN EDGAR FULTON. The license is no longer active. It was granted on 05/25/1973
LICENSE DETAILS
- License Number: TLM-582
- Category: Board Of Medicine
- Status: Upgraded
- Date Granted: 05/25/1973 (about 52 years ago)
LOCATIONS
A Residential
2147 Lakeline Avenue Salt Lake City UT 84109