License holder summary

Mark Anthony Bustamante is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Mark Anthony Bustamante is Indianapolis IN 46236. This licensed professional license is not current. The license was granted 11/30/2012 and expired on 02/28/2013.

Indiana

Professional Licensing Agency

Mark Anthony Bustamante
Temporary Medical Doctor Permit
License number
99054948A
Date granted
11/30/2012
Date expires
02/28/2013
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Indianapolis IN 46236
indianalicensing.org
ID 12002828
LAST UPDATED 2024-01-04 19:19:55 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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