Indiana
Professional Licensing Agency
ANGELO P BONAVENTURA JR
Controlled Substance Registration - Physician
License number
01032091B
Date granted
12/31/1985
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1400 S LAKE PARK AVE STE 305, HOBART IN 46342
indianalicensing.org
ID 5866929
LAST UPDATED 2024-03-23 21:45:42 UTC
LAST UPDATED 2024-03-23 21:45:42 UTC
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