License Information
License Number
071000054Business Name
NORMAN A BUKTENICALicense Type
CLIN PSYCHOLOGISTOriginal Issue Date
1970-01-01License Status
NOT RENEWEDCity
FARGOState
NDCounty
NORTH DAKOTAPost
58102Update Date
2023-10-08Business
NEver Disciplined
NLastModifiedDate
09/03/2005Registered Location
Peripheral Licensees
- JEMIMMAH K MBUVI FARGO, ND 58104
- WINTON D JOHNSON FARGO, ND 58108
- PHYLLIS M KEAL FARGO, ND 58102
- MARKETA MARVANOVA FARGO, ND 58104
- TONYA K ANDRESON FARGO, ND 58103
- DANIEL MICKELSON FARGO, ND 58102
- LARRY FRANCIS BERGER FARGO, ND 58102
- HERMAN A NATWICK FARGO, ND 58103
- CLINICAL SUPPLIES MANAGEMENT INC FARGO, ND 58103
- AARON J FAIMAN FARGO, ND 58103