Indiana
Professional Licensing Agency
Ronald Lee Banta
Controlled Substance Registration - Podiatrist
License number
07000296B
Date granted
04/30/1986
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
KEYSTONE LAKE MED CENTER, 3077 EAST 98TH STREET #100, INDIANAPOLIS IN 46280
indianalicensing.org
ID 8430955
LAST UPDATED 2024-02-29 12:15:16 UTC
LAST UPDATED 2024-02-29 12:15:16 UTC
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