Indiana
Professional Licensing Agency
Richard A. Fountaine, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902066
Date granted
03/10/2000
Date expires
07/01/2003
Class
Radiology - Radiation Facility Dental
Status
Expired
Address
Spies and Dana Street, Boswell IN 47921-0000
indianalicensing.org
ID 24930873
LAST UPDATED 2024-03-31 18:51:52 UTC
LAST UPDATED 2024-03-31 18:51:52 UTC
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