License holder summary

JOHN EDWARD FANTASIA is a Dentist licensed to practice in Pennsylvania. The address on file for JOHN EDWARD FANTASIA is HUNTINGTON NY 11743. This medical practitioner license is not current. The license was granted 01/28/1980 and expired on 06/30/2005.

Department of State

Board of Medicine

JOHN EDWARD FANTASIA
Dentist
License number
DS021537L
Date granted
01/28/1980
Date expires
06/30/2005
Class
Dentist
Status
Inactive
Address
HUNTINGTON NY 11743
medicinepa.com
ID 37428486
LAST UPDATED 2024-03-25 03:05:14 UTC

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