License holder summary

DEFAZIO, JOHN EDWARD is a Medical - Respiratory Care Professional licensed to practice in Georgia. The address on file for DEFAZIO, JOHN EDWARD is 802 FOREST HEIGHTS DRIVE, Athens 30606. This doctor license is current. The license was granted 06/11/1987 and expired on 10/31/2017.

Georgia

Composite Medical Board

DEFAZIO, JOHN EDWARD
Medical - Respiratory Care Professional
License number
000136
Date granted
06/11/1987
Date expires
10/31/2017
Class
Medical - Respiratory Care Professional
Status
Active
Address
802 FOREST HEIGHTS DRIVE
georgiadoctors.net
ID 38105005
LAST UPDATED 2024-04-28 20:23:47 UTC

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