License holder summary

SUSAN MARIE FONTAINE is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 09/27/2004 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

SUSAN MARIE FONTAINE
Physicians Assistants - Physician Assistant
License number
5601004304
Date granted
09/27/2004
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39307300
LAST UPDATED 2026-03-30 23:38:48 UTC

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