BRIAN WILLIAM FULLEM
Doctor of Podiatric Medicine
Pennsylvania SC004182R Inactive
This Pennsylvania license was held by BRIAN WILLIAM FULLEM. The license is no longer active. It was granted on 12/06/1995 and expired on 12/31/1996
LICENSE DETAILS
- License Number: SC004182R
- Category: Doctor of Podiatric Medicine
- Status: Inactive
- Date Granted: 12/06/1995 (over 30 years ago)
- Expiry Date: 12/31/1996 (over 29 years ago)
LOCATIONS
A Address
BRIDGEPORT CT 06606