License holder summary

MARK RUDOLPH FANTAUZZI is a Osteopathic Physician and Surgeon licensed to practice in Pennsylvania. The address on file for MARK RUDOLPH FANTAUZZI is Portland ME 04103. This licensed professional license is not current. The license was granted 09/25/1992 and expired on 10/31/2012.

Pennsylvania

Department of State

MARK RUDOLPH FANTAUZZI
Osteopathic Physician and Surgeon
License number
OS007986L
Date granted
09/25/1992
Date expires
10/31/2012
Class
Osteopathic Physician and Surgeon
Status
Revoked
Address
Portland ME 04103
palicensing.org
ID 16996695
LAST UPDATED 2024-04-09 02:51:02 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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