License holder summary

CLYDE EDWARD BANTZ is a Board Of Medicine licensed to practice in Idaho. The address on file for CLYDE EDWARD BANTZ is 28890 Lilac Rd #2 Valley Center CA 92082. This licensed professional license is not current. The license was granted 09/09/1995 and expired on 06/30/2005.

Idaho

Division of Occupational and Professional Licenses

CLYDE EDWARD BANTZ
Board Of Medicine
License number
M-6819
Date granted
09/09/1995
Date expires
06/30/2005
Class
Board Of Medicine
Status
Deceased
Address
28890 Lilac Rd #2 Valley Center CA 92082
idaholicensing.com
ID 48336837
LAST UPDATED 2024-02-18 03:53:25 UTC

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