License holder summary

Randy Paul Banic is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Randy Paul Banic is 910 I St., La Porte IN 46350. This licensed professional license is current. The license was granted 07/11/1990 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Randy Paul Banic
Controlled Substance Registration - Dentist
License number
12009219B
Date granted
07/11/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
910 I St., La Porte IN 46350
indianalicensing.org
ID 5107201
LAST UPDATED 2024-03-17 10:00:57 UTC

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