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 2026-03-27 21:54:11 UTC
LAST UPDATED 2026-03-27 21:54:11 UTC
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