LONNIE EDWARD FULLER
Medicine - Written Agreement
Pennsylvania MX003451 Inactive
This Pennsylvania license was held by LONNIE EDWARD FULLER. The license is no longer active. It was granted on 03/03/2005
LICENSE DETAILS
- License Number: MX003451
- Category: Written Agreement
- Status: Inactive
- Date Granted: 03/03/2005 (over 19 years ago)
LOCATIONS
A Address
1821 FULTON STREET Harrisburg PA 17102