License holder summary

Guy Henry Fortier is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Guy Henry Fortier is 5725 MAPLE CREST, FORT WAYNE IN 46835. This licensed professional license is current. The license was granted 11/30/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Guy Henry Fortier
Controlled Substance Registration - Dentist
License number
12008238B
Date granted
11/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5725 MAPLE CREST, FORT WAYNE IN 46835
indianalicensing.org
ID 5094788
LAST UPDATED 2024-04-26 03:33:09 UTC

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