KENNETH K FUGATE

Medicine - Written Agreement

Pennsylvania  MX000214   Inactive

This Pennsylvania license was held by KENNETH K FUGATE. The license is no longer active. It was granted on 10/16/2001

LICENSE DETAILS

  • License Number: MX000214
  • Category: Written Agreement
  • Status: Inactive
  • Date Granted: 10/16/2001 (over 22 years ago)

LOCATIONS

A Address

RD 5 BOX 27B Punxsutawney PA 15767