The holder whose full name is Bantamoi, Edward John,come from Griffith IN,hold the Physician license(NO.01056615A) which status is Expired Non-Renewable.
| Name | Bantamoi, Edward John |
|---|---|
| License Number | 01056615A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Griffith |
| State | IN |