Fantauzzi, Mark R

Medicine And Surgery

Wisconsin  42424-21   Revoked

This Wisconsin license was held by Fantauzzi, Mark R. The license is no longer active. It was granted on 08/04/2000 and expired on 02/28/2014

LICENSE DETAILS

  • License Number: 42424-21
  • Category: Medicine And Surgery
  • Status: Revoked
  • Date Granted: 08/04/2000 (almost 25 years ago)
  • Expiry Date: 02/28/2014 (over 11 years ago)