Dr. COY B FULLEN Jr
Idaho SPHY-0589 Licensed
This Idaho license is held by Dr. COY B FULLEN Jr. The license is currently active. It was granted on 10/24/2016 and expired on 12/31/2017
LICENSE DETAILS
- License Number: SPHY-0589
- Category: Board Of Medicine
- Status: Licensed
- Date Granted: 10/24/2016 (over 7 years ago)
- Expiry Date: 12/31/2017 (over 6 years ago)
LOCATIONS
A Residential
24006 N ROSEMEADOW LANE COLBERT WA 99005
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