Arizona
Board of Licensing
Mark R Fantauzzi DO
Osteopathic Physician
License number
3209
Date granted
03/06/1997
Class
Osteopathic Physician
Status
Surrendered
Address
MedLicensure Prof. Svcs, LLC, 75 Auburn Street, #1229, Portland ME 04103
arizonalicensing.com
ID 22647818
LAST UPDATED 2024-03-29 16:58:33 UTC
LAST UPDATED 2024-03-29 16:58:33 UTC