Daniel Robert Bonham
Controlled Substance Registration - Physician
Indiana 01049015B Active
This Indiana license is held by Daniel Robert Bonham. The license is currently active. It was granted on 03/15/2001 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01049015B
- Category: CSR-Physician
- Status: Active
- Date Granted: 03/15/2001 (over 25 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Medical Staff Office, 601 West 2nd Street, Bloomington IN 47403
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