License holder summary

FANTAUZZI , MARK R is a Department Of Health - Osteopathic Physician licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 09/27/1990 and expired on 11/30/2012.

Department of Health

Board of Medical Examiners

FANTAUZZI , MARK R
Department Of Health - Osteopathic Physician
License number
828
Date granted
09/27/1990
Date expires
11/30/2012
Class
Department Of Health - Osteopathic Physician
Status
Revoked
Address
medicaltn.com
ID 42259493
LAST UPDATED 2024-04-18 11:30:04 UTC

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