License holder summary

Michael W Fuller is a Physician Assistant - Medical licensed to practice in New Mexico. This licensed professional license is not current. The license was granted 03/30/1995 and expired on 06/30/1998.

New Mexico

Regulation & Licensing Department

Michael W Fuller
Physician Assistant - Medical
License number
95-PA11
Date granted
03/30/1995
Date expires
06/30/1998
Class
Physician Assistant - Medical
Status
Inactive
licensingnm.com
ID 5282905
LAST UPDATED 2026-03-15 18:47:17 UTC

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