Michigan
Department of Licensing and Regulation
MARK RUDOLPH FANTAUZZI
Optometrist - Optometrist
License number
4901003348
Date granted
01/16/1991
Date expires
06/30/1993
Class
Optometrist - Optometrist
Status
Lapsed
Address
Mt Clemens, MI 48044
michiganlicensing.org
ID 25880220
LAST UPDATED 2024-03-30 12:46:11 UTC
LAST UPDATED 2024-03-30 12:46:11 UTC
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