License holder summary

Jennifer Joy Fontaine is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jennifer Joy Fontaine is North Shore Health Centers, 6450 U.S. Hwy 6, Portage IN 46368. This licensed professional license is current. The license was granted 08/27/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jennifer Joy Fontaine
Controlled Substance Registration - Dentist
License number
12010668B
Date granted
08/27/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
North Shore Health Centers, 6450 U.S. Hwy 6, Portage IN 46368
indianalicensing.org
ID 5119101
LAST UPDATED 2024-04-02 18:40:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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