COLETTE RENEE LAFORTUNE - Dentist License in Indiana | # 020013417

COLETTE RENEE LAFORTUNE

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013417

License Status

NOT RENEWED

Business

N

First Name

COLETTE

Middle

RENEE

Last Name

LAFORTUNE

Business Name

COLETTE RENEE LAFORTUNE

Original Issue Date

09/23/2010

Effective Date

09/23/2010

Expiration Date

09/30/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2012