Indiana
Professional Licensing Agency
Daniel Kantz, P.S.C.
Medical Licensing Board - Medical Corporation
License number
50004714A
Date granted
08/26/2005
Date expires
01/31/2008
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2100 Market Street; Suite 106, Charlestown IN 47111
indianalicensing.org
ID 24824702
LAST UPDATED 2026-03-27 12:59:51 UTC
LAST UPDATED 2026-03-27 12:59:51 UTC
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