Edward John Bantamoi
Medical Residency Permit
Indiana 11009843A Expired
This Indiana license was held by Edward John Bantamoi. The license is no longer active. It was granted on 07/01/2000 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 11009843A
- Category: Medical Residency Permit
- Status: Expired
- Date Granted: 07/01/2000 (almost 25 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
Griffith IN 46319