Indiana
Professional Licensing Agency
Ronald L. Banta, D.P.M.
Radiology - Radiation Facility Podiatric
License number
XF400060
Date granted
01/11/2006
Date expires
12/19/2015
Class
Radiology - Radiation Facility Podiatric
Status
Active
Address
3077 East 98th Street, Suite 100, Indianapolis IN 46280-1969
indianalicensing.org
ID 24946547
LAST UPDATED 2024-05-03 15:15:56 UTC
LAST UPDATED 2024-05-03 15:15:56 UTC
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