License holder summary

KENNER-FULLER, STACI N, MD is a Medical - Physician licensed to practice in Georgia. The address on file for KENNER-FULLER, STACI N, MD is 36 ROBERSON DR, Cartersville 30121. This doctor license is current. The license was granted 05/04/2012 and expired on 03/31/2018.

Georgia

Composite Medical Board

KENNER-FULLER, STACI N, MD
Medical - Physician
License number
067780
Date granted
05/04/2012
Date expires
03/31/2018
Class
Medical - Physician
Status
Active
Address
36 ROBERSON DR
georgiadoctors.net
ID 38055900
LAST UPDATED 2026-03-19 03:34:29 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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