Dr. JASON RONALD FANGUSARO
Medical Board - 35.Doctor Of Medicine
Ohio 35.080453 Inactive
This Ohio license was held by Dr. JASON RONALD FANGUSARO. The license is no longer active. It was granted on 12/14/2001 and expired on 01/01/2007
LICENSE DETAILS
- License Number: 35.080453
- Category: 35.Doctor of Medicine
- Status: Inactive
- Date Granted: 12/14/2001 (over 23 years ago)
- Expiry Date: 01/01/2007 (over 18 years ago)
LOCATIONS
A Practice Address
CHLA, 4650 W. Sunset Blvd., Los Angeles, CA 90027