License holder summary

LONNIE EDWARD FULLER is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for LONNIE EDWARD FULLER is 1821 FULTON STREET Harrisburg PA 17102. This licensed professional license is not current. The license was granted 03/03/2005.

Pennsylvania

Department of State

LONNIE EDWARD FULLER
Medicine - Written Agreement
License number
MX003451
Date granted
03/03/2005
Class
Medicine - Written Agreement
Status
Inactive
Address
1821 FULTON STREET Harrisburg PA 17102
palicensing.org
ID 16666351
LAST UPDATED 2024-04-23 09:09:28 UTC

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