License holder summary

Mark William Bantz is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark William Bantz is 820 East Colfax Avenue, South Bend IN 46617-2804. This licensed professional license is not current. The license was granted 06/23/1999 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Mark William Bantz
Controlled Substance Registration - Dentist
License number
12007086B
Date granted
06/23/1999
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
820 East Colfax Avenue, South Bend IN 46617-2804
indianalicensing.org
ID 5123249
LAST UPDATED 2024-04-20 08:47:56 UTC

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

Reviews

Are you familiar with Mark William Bantz's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending