License holder summary

CHARLES W FOUNTAIN is a Medical Doctor (Md) - Medical Doctor licensed to practice in Michigan. The address on file for CHARLES W FOUNTAIN is Mill Creek, WA 98012. This licensed professional license is not current. The license was granted 01/01/1968 and expired on 01/31/1999.

Michigan

Department of Licensing and Regulation

CHARLES W FOUNTAIN
Medical Doctor (Md) - Medical Doctor
License number
4301028088
Date granted
01/01/1968
Date expires
01/31/1999
Class
Medical Doctor (Md) - Medical Doctor
Status
Lapsed
Address
Mill Creek, WA 98012
michiganlicensing.org
ID 25799811
LAST UPDATED 2024-03-26 13:42:12 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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