Indiana
Professional Licensing Agency
Edward John Bantamoi
Medical Residency Permit
License number
11009843A
Date granted
07/01/2000
Date expires
06/30/2003
Class
Medical Residency Permit
Status
Expired
Address
Griffith IN 46319
indianalicensing.org
ID 5982153
LAST UPDATED 2024-04-14 12:39:59 UTC
LAST UPDATED 2024-04-14 12:39:59 UTC
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