Department of Safety and Professional Services
Board of Medical Practice
Jeannine Marie Fortin
Medical - Physician And Surgeon
License number
38172
Date granted
09/16/1995
Date expires
01/31/2005
Class
Medical - Physician And Surgeon
Status
Active
Address
Prevea Clinic - Freedom Site, N3972 Columbia Avenue, Kaukauna, WI 54130
doctorsminnesota.org
ID 22207888
LAST UPDATED 2026-04-21 04:12:30 UTC
LAST UPDATED 2026-04-21 04:12:30 UTC
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