Mark Anthony Bustamante

Temporary Medical Doctor Permit

Indiana  99054948A   Superceded

This Indiana license was held by Mark Anthony Bustamante. The license is no longer active. It was granted on 11/30/2012 and expired on 02/28/2013

LICENSE DETAILS

  • License Number: 99054948A
  • Category: Temporary MD Permit
  • Status: Superceded
  • Date Granted: 11/30/2012 (over 11 years ago)
  • Expiry Date: 02/28/2013 (about 11 years ago)

LOCATIONS

A Address

Indianapolis IN 46236