JENNIFER JOY FONTAINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008402

License Status

NOT RENEWED

Business

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

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005