JUAN J BONILLA
Controlled Substance Registration - Physician
Indiana 01049084B Active
This Indiana license is held by JUAN J BONILLA. The license is currently active. It was granted on 07/23/1998 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01049084B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/23/1998 (almost 27 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Cardiac Surgery Associates, 801 McArthur Blvd Suite 204, Munster IN 46321
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