License holder summary

DEFAZIO, JENNIFER MARIE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for DEFAZIO, JENNIFER MARIE, MD is 1 STADIUM DR, MORGANTOWN 26506. This doctor license is not current. The license was granted 04/03/2008 and expired on 07/31/2009.

Georgia

Composite Medical Board

DEFAZIO, JENNIFER MARIE, MD
Medical - Physician
License number
060824
Date granted
04/03/2008
Date expires
07/31/2009
Class
Medical - Physician
Status
Lapsed
Address
1 STADIUM DR
georgiadoctors.net
ID 38037987
LAST UPDATED 2024-03-28 10:16:02 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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