License holder summary

Michael Warren Fountain is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Michael Warren Fountain is 840 Richard Road, Dyer IN 46311. This licensed professional license is not current. The license was granted 10/31/2008 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Michael Warren Fountain
Controlled Substance Registration-Osteopathic Physician
License number
02002935B
Date granted
10/31/2008
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
840 Richard Road, Dyer IN 46311
indianalicensing.org
ID 5798669
LAST UPDATED 2024-02-22 22:17:16 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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