License holder summary

JESSICA MARIE FAZENDIN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JESSICA MARIE FAZENDIN is Jackson WI 53037. This medical practitioner license is not current. The license was granted 06/08/2013 and expired on 06/30/2015.

Department of State

Board of Medicine

JESSICA MARIE FAZENDIN
Graduate Medical Trainee
License number
MT204928
Date granted
06/08/2013
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Expired
Address
Jackson WI 53037
medicinepa.com
ID 37531874
LAST UPDATED 2024-03-06 07:48:14 UTC

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