MARK RUDOLPH FANTAUZZI
Pharmacist, Pharmacies - Cs 3
Michigan 5315026080 Lapsed
This Michigan license was held by MARK RUDOLPH FANTAUZZI. The license is no longer active. It was granted on 04/25/2006 and expired on 12/31/2008
LICENSE DETAILS
- License Number: 5315026080
- Category: CS - 3
- Status: Lapsed
- Date Granted: 04/25/2006 (almost 19 years ago)
- Expiry Date: 12/31/2008 (over 16 years ago)
LOCATIONS
A Address
Portland, ME 04103