License holder summary

Donald A. Fantuzzo is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Donald A. Fantuzzo is 3416 S Dixon Road, Kokomo IN 46902. This licensed professional license is current. The license was granted 10/08/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Donald A. Fantuzzo
Controlled Substance Registration - Dentist
License number
12010681B
Date granted
10/08/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3416 S Dixon Road, Kokomo IN 46902
indianalicensing.org
ID 5106310
LAST UPDATED 2024-02-25 20:33:35 UTC

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