License holder summary

Jackie Sue Fantes is a Physician licensed to practice in Indiana. The address on file for Jackie Sue Fantes is Middletown RI 02842. This licensed professional license is not current. The license was granted 08/26/1993 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Jackie Sue Fantes
Physician
License number
01041776A
Date granted
08/26/1993
Date expires
06/30/2005
Class
Physician
Status
Expired Non-Renewable
Address
Middletown RI 02842
indianalicensing.org
ID 6078104
LAST UPDATED 2026-06-08 03:00:08 UTC

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