Wisconsin
Department of Safety and Professional Services
Fantauzzi, Mark R
Medicine And Surgery
License number
42424-21
Date granted
08/04/2000
Date expires
02/28/2014
Class
Medicine And Surgery
Status
Revoked
wisconsinmedicine.org
ID 35629471
LAST UPDATED 2024-02-10 20:40:40 UTC
LAST UPDATED 2024-02-10 20:40:40 UTC
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