Department of State
Board of Medicine
EDWARD ANDREW FAZENDIN
Graduate Medical Trainee
License number
MT204318
Date granted
05/18/2013
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Expired
Address
Wauwatosa WI 53213
medicinepa.com
ID 37531876
LAST UPDATED 2024-02-20 00:02:04 UTC
LAST UPDATED 2024-02-20 00:02:04 UTC
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