JENNIFER JOY FONTAINE DDS - Dentist License in Indiana | # 020008402

JENNIFER JOY FONTAINE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008402

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

JOY

Last Name

FONTAINE

Suffix

DDS

Business Name

JENNIFER JOY FONTAINE DDS

Original Issue Date

10/18/1994

Effective Date

10/18/1994

Expiration Date

09/30/2000

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005