License holder summary

DOUGLAS SCOTT FUGATE is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for DOUGLAS SCOTT FUGATE is 1265 WAYNE AVENUE 119 PROFESSIONAL CENTER SUITE 307 Indiana PA 15701. This licensed professional license is not current. The license was granted 12/13/2005.

Pennsylvania

Department of State

DOUGLAS SCOTT FUGATE
Medicine - Written Agreement
License number
MX004266
Date granted
12/13/2005
Class
Medicine - Written Agreement
Status
Inactive
Address
1265 WAYNE AVENUE 119 PROFESSIONAL CENTER SUITE 307 Indiana PA 15701
palicensing.org
ID 16664153
LAST UPDATED 2024-04-24 21:39:06 UTC

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