License holder summary

LONNIE EDWARD FULLER JR is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 06/20/1991 and expired on 06/19/1992.

Department of State

Board of Medicine

LONNIE EDWARD FULLER JR
Graduate Medical Trainee
License number
MT020039T
Date granted
06/20/1991
Date expires
06/19/1992
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37530404
LAST UPDATED 2024-04-13 15:53:50 UTC

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