The holder whose full name is Fontaine, David Joseph,come from Terre Haute IN,hold the Osteopathic Physician license(NO.02002024A) which status is Expired Non-Renewable.
Name | Fontaine, David Joseph |
---|---|
License Number | 02002024A |
License Type | Osteopathic Physician |
License Status | Expired Non-Renewable |
City | Terre Haute |
State | IN |