Delaware
Division of Professional Regulation
Christopher Clarke Fortin
Dentistry - Academic
License number
G3-0000307
Date granted
06/30/2004
Date expires
06/30/2005
Class
Dentistry - Academic
Status
Lapsed
Address
Dover DE 19901
delawarelicensing.com
ID 20236772
LAST UPDATED 2024-03-15 15:25:43 UTC
LAST UPDATED 2024-03-15 15:25:43 UTC
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