Edward John Bantamoi
Medical - Physician And Surgeon
Minnesota 45923 Canceled
This Minnesota license was held by Edward John Bantamoi. The license is no longer active. It was granted on 09/06/2003 and expired on 05/31/2006
LICENSE DETAILS
- License Number: 45923
- Category: Physician and Surgeon
- Status: Canceled
- Date Granted: 09/06/2003 (over 21 years ago)
- Expiry Date: 05/31/2006 (almost 19 years ago)
LOCATIONS
A Licensure Designated Address
St. Peter Clinic, 622 Sunrise Drive, St. Peter, MN 56082