Indiana
Professional Licensing Agency
Richard Alan Fontaine
Controlled Substance Registration - Dentist
License number
12006191B
Date granted
10/31/1985
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
4145 N. Rocky Ford Road, Attica IN 47918
indianalicensing.org
ID 5081557
LAST UPDATED 2024-04-22 15:25:53 UTC
LAST UPDATED 2024-04-22 15:25:53 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.