License holder summary

Justin Timothy Fuller is a Medical Residency Permit licensed to practice in Indiana. The address on file for Justin Timothy Fuller is Plainfield IN 46168. This licensed professional license is not current. The license was granted 05/13/2011 and expired on 06/30/2013.

Indiana

Professional Licensing Agency

Justin Timothy Fuller
Medical Residency Permit
License number
11015932A
Date granted
05/13/2011
Date expires
06/30/2013
Class
Medical Residency Permit
Status
Superceded
Address
Plainfield IN 46168
indianalicensing.org
ID 5999067
LAST UPDATED 2024-04-10 07:33:00 UTC

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