JENNIFER JOY FONTAINE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026444

License Status

INACTIVE

Business

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

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

06/04/2009