Ohio
Board of Licensing
Fazio, G Thomas-Springfield Family Practice
Medical Board - 41.Pa Supervision Agreement
License number
41.17563-SA
Date granted
12/13/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
2665 Derr Rd., Judy Cattell, Springfield, OH 45503
ohiolicensing.org
ID 29562304
LAST UPDATED 2026-03-30 03:53:38 UTC
LAST UPDATED 2026-03-30 03:53:38 UTC