Mark R. Fantauzzi
Osteopathic Physician
Indiana 02001815A Revoked
This Indiana license was held by Mark R. Fantauzzi. The license is no longer active. It was granted on 01/23/1997 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 02001815A
- Category: Osteopathic Physician
- Status: Revoked
- Date Granted: 01/23/1997 (over 28 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
Portland ME 04103