The holder whose full name is Fontaine, David Joseph,come from TERRE HAUTE IN,hold the CSR-Osteopathic Physician license(NO.02002024B) which status is Expired.
| Name | Fontaine, David Joseph |
|---|---|
| License Number | 02002024B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |