Mark William Bantz
Dentist
Indiana 12007086A Expired
This Indiana license was held by Mark William Bantz. The license is no longer active. It was granted on 06/15/1973 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12007086A
- Category: Dentist
- Status: Expired
- Date Granted: 06/15/1973 (almost 51 years ago)
- Expiry Date: 03/01/2014 (about 10 years ago)
LOCATIONS
A Address
South Bend IN 46617-2804