Indiana
Professional Licensing Agency
Antonio Lester Brandt
Physician
License number
01057109A
Date granted
01/03/2003
Date expires
06/30/2005
Class
Physician
Status
Expired Non-Renewable
Address
Dupont WA 98327
indianalicensing.org
ID 6045725
LAST UPDATED 2024-06-11 12:38:20 UTC
LAST UPDATED 2024-06-11 12:38:20 UTC
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