Douglas Randall Fullen
ActiveMichigan license 4301063830
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301063830
- Status
- Active
- First issued
- April 5, 1996
- Expires
- April 5, 2027
- License holder
- Douglas Randall Fullen
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons