Indiana
Professional Licensing Agency
Randy P. Banic, D.D.S., P.C.
Dentistry Board - Dental Corporation
License number
54001073A
Date granted
12/11/1997
Date expires
01/31/2012
Class
Dentistry Board - Dental Corporation
Status
Expired
Address
910 I STREET, LAPORTE IN 46350
indianalicensing.org
ID 24746074
LAST UPDATED 2024-05-02 13:57:21 UTC
LAST UPDATED 2024-05-02 13:57:21 UTC
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