Todd Edward Fountain

Medical - Physician And Surgeon

Minnesota  45712   Active

This Minnesota license is held by Todd Edward Fountain. The license is currently active. It was granted on 07/12/2003 and expired on 09/30/2012

LICENSE DETAILS

  • License Number: 45712
  • Category: Physician and Surgeon
  • Status: Active
  • Date Granted: 07/12/2003 (almost 22 years ago)
  • Expiry Date: 09/30/2012 (over 12 years ago)

LOCATIONS

A Licensure Designated Address

Semmes Murphey Clinic, 6325 Humphreys Blvd., Memphis, TN 38120