COLETTE RENEE LAFORTUNE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013417

License Status

NOT RENEWED

Business

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

City

ELKHART

State

Zip

46514

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2012