Indiana
Professional Licensing Agency
Angelo P. Bonaventura
Controlled Substance Registration - Physician
License number
01014449B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2914 HIGHWAY STREET, HIGHLAND IN 46322
indianalicensing.org
ID 5866387
LAST UPDATED 2024-02-23 06:20:20 UTC
LAST UPDATED 2024-02-23 06:20:20 UTC
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