JENNIFER JOY FONTAINE DDS - Dentist License in Indiana | # 019026444

JENNIFER JOY FONTAINE DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026444

License Status

INACTIVE

Business

N

First Name

JENNIFER

Middle

JOY

Last Name

FONTAINE

Suffix

DDS

Business Name

JENNIFER JOY FONTAINE DDS

Original Issue Date

06/17/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IN

Ever Disciplined

N

LastModifiedDate

06/04/2009