License holder summary

Jared Richard Fortman is a Dental - Dentist licensed to practice in Colorado. The address on file for Jared Richard Fortman is 11 BLUEBIRD STREET, NEW ORLEANS, LA, 70124-0124. This licensed professional license is not current. The license was granted 05/15/1997 and expired on 02/29/2004.

Colorado

Division of Professions and Occupations

Jared Richard Fortman
Dental - Dentist
License number
7574
Date granted
05/15/1997
Date expires
02/29/2004
Class
Dental - Dentist
Status
Expired
Address
11 BLUEBIRD STREET, NEW ORLEANS, LA, 70124-0124
coloradolicensing.org
ID 27252550
LAST UPDATED 2024-03-27 02:37:12 UTC

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