Diane Fulk

Radiologic technology

Marana, United States

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Full name

Diane Fulk

Job Title

Radiologic Technology

Location

Marana, AZ, USA

LIC ID

113301

Current License Expiration Date

31/08/2025

Original Date

27/05/2022

Professional Rank Code

CRT

Effective Date

27/05/2022

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

10937 W. Claxton Dr.

Practice Location Address City

MARANA

Practice Location Address State

Practice Location Address Zipcode

85653

Mode Code

General Radiographer

Prescribing Indicator

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