The holder whose full name is Fontaine, Jennifer Joy,come from Portage IN,hold the CSR-Dentist license(NO.12010668B) which status is Active.
| Name | Fontaine, Jennifer Joy |
|---|---|
| License Number | 12010668B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | Portage |
| State | IN |