Utah
Division of Occupational and Professional Licensing
MARK ALLEN FULLMER
Physician - Physician & Surgeon
License number
152450-1205
Date granted
06/22/1971
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
PROVO, UT 846043344
utahlicensing.org
ID 29929606
LAST UPDATED 2024-02-15 11:15:12 UTC
LAST UPDATED 2024-02-15 11:15:12 UTC
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