The holder whose full name is Fortin, Joseph Dale,come from Fort Wayne IN,hold the Osteopathic Physician license(NO.02001553A) which status is Active.
| Name | Fortin, Joseph Dale |
|---|---|
| License Number | 02001553A |
| License Type | Osteopathic Physician |
| License Status | Active |
| City | Fort Wayne |
| State | IN |