MARK RUDOLPH FANTAUZZI
Osteopathic Physician (Do) - Osteopathic Physician
Michigan 5101011164 Suspended
This Michigan license was held by MARK RUDOLPH FANTAUZZI. The license is no longer active. It was granted on 10/08/1992
LICENSE DETAILS
- License Number: 5101011164
- Category: Osteopathic Physician
- Status: Suspended
- Date Granted: 10/08/1992 (over 32 years ago)
LOCATIONS
A Address
Portland, ME 04103