License holder summary

Jonathan Ellis Fuller MD is a Medicine - Backup Pa Supervisor licensed to practice in Nebraska. This licensed professional license is not current. The license was granted 05/30/2002 and expired on 10/01/2003.

Nebraska

Board of Licensing

Jonathan Ellis Fuller MD
Medicine - Backup Pa Supervisor
License number
4770
Date granted
05/30/2002
Date expires
10/01/2003
Class
Medicine - Backup Pa Supervisor
Status
Voided
Address
licensingnebraska.com
ID 49486459
LAST UPDATED 2024-03-28 01:54:02 UTC

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