License holder summary

FREDERICK PAUL FULLER is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for FREDERICK PAUL FULLER is Highspire PA 17034. This licensed professional license is not current. The license was granted 10/02/2007 and expired on 12/31/2008.

Pennsylvania

Department of State

FREDERICK PAUL FULLER
Medical Physician Assistant
License number
MA053218
Date granted
10/02/2007
Date expires
12/31/2008
Class
Medical Physician Assistant
Status
Expired
Address
Highspire PA 17034
palicensing.org
ID 16638088
LAST UPDATED 2024-04-27 11:03:13 UTC

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