FULLER, KEITH LYLE, DO
Medical - Physician
Georgia 037808 Lapsed
This Georgia license was held by FULLER, KEITH LYLE, DO. The license is no longer active. It was granted on 12/02/1993 and expired on 12/31/1999
LICENSE DETAILS
- License Number: 037808
- Category: Physician
- Status: Lapsed
- Date Granted: 12/02/1993 (over 32 years ago)
- Expiry Date: 12/31/1999 (over 26 years ago)
LOCATIONS
A Address
2125 EXECUTIVE PARK DRIVE, OPELIKA 36801