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 The license is no longer active.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