KENNETH K FUGATE
Medicine - Written Agreement
Pennsylvania MX002007 Voided
This Pennsylvania license was held by KENNETH K FUGATE. The license is no longer active. It was granted on 10/20/2003
LICENSE DETAILS
- License Number: MX002007
- Category: Written Agreement
- Status: Voided
- Date Granted: 10/20/2003 (over 20 years ago)
LOCATIONS
A Address
1464 NORTH MAIN STREET SUITE 5 PUNXSUTAWNEY PA 15767