License holder summary

WAYNE TEMPLETON FULLER is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for WAYNE TEMPLETON FULLER is VIRGINIA BEACH, VA 23452. This licensed professional license is not current. The license was granted 06/06/1997 and expired on 01/31/2012.

Utah

Division of Occupational and Professional Licensing

WAYNE TEMPLETON FULLER
Physician - Physician & Surgeon
License number
339571-1205
Date granted
06/06/1997
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
VIRGINIA BEACH, VA 23452
utahlicensing.org
ID 29936706
LAST UPDATED 2024-04-29 20:11:41 UTC

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