KENNETH K FUGATE
Medicine - Written Agreement
Pennsylvania MX003026 Inactive
This Pennsylvania license was held by KENNETH K FUGATE. The license is no longer active. It was granted on 09/02/2004
LICENSE DETAILS
- License Number: MX003026
- Category: Written Agreement
- Status: Inactive
- Date Granted: 09/02/2004 (almost 20 years ago)
LOCATIONS
A Address
525 NORTH MAIN STREET Punxsutawney PA 15767