License holder summary

GLEN R FULLER is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for GLEN R FULLER is PLEASANT GROVE, UT 84062. This licensed professional license is current. The license was granted 05/19/1982 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

GLEN R FULLER
Physician - Physician & Surgeon
License number
167378-1205
Date granted
05/19/1982
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
PLEASANT GROVE, UT 84062
utahlicensing.org
ID 29924312
LAST UPDATED 2024-04-03 22:45:26 UTC

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