Edward John Bantamoi
Physician
Indiana 01056615A Expired Non-Renewable
This Indiana license was held by Edward John Bantamoi. The license is no longer active. It was granted on 08/07/2002 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01056615A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 08/07/2002 (almost 23 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
Griffith IN 46319