License holder summary

FULLER, KEITH LYLE, DO is a Medical - Physician licensed to practice in Georgia. The address on file for FULLER, KEITH LYLE, DO is 2125 EXECUTIVE PARK DRIVE, OPELIKA 36801. This doctor license is not current. The license was granted 12/02/1993 and expired on 12/31/1999.

Georgia

Composite Medical Board

FULLER, KEITH LYLE, DO
Medical - Physician
License number
037808
Date granted
12/02/1993
Date expires
12/31/1999
Class
Medical - Physician
Status
Lapsed
Address
2125 EXECUTIVE PARK DRIVE
georgiadoctors.net
ID 38043853
LAST UPDATED 2024-03-17 20:59:12 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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