PHILLIP MICHAEL CULLISON BONNER
Medical - Physician With A Temporary Permit To Practice Medicine
Alaska 7861 Licensed
This Alaska license is held by PHILLIP MICHAEL CULLISON BONNER. The license is currently active. It was granted on 06/27/2013 and expired on 12/27/2013
LICENSE DETAILS
- License Number: 7861
- Category: Physician WITH A TEMPORARY PERMIT TO PRACTICE MEDICINE
- Status: Licensed
- Date Granted: 06/27/2013 (almost 12 years ago)
- Expiry Date: 12/27/2013 (over 11 years ago)
LOCATIONS
A Address
1901 NE 67TH AVE #130 PORTLAND OR 97213
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