License holder summary

Daniel Robert Bonham is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Daniel Robert Bonham is Medical Staff Office, 601 West 2nd Street, Bloomington IN 47403. This licensed professional license is current. The license was granted 03/15/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Daniel Robert Bonham
Controlled Substance Registration - Physician
License number
01049015B
Date granted
03/15/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Medical Staff Office, 601 West 2nd Street, Bloomington IN 47403
indianalicensing.org
ID 5824035
LAST UPDATED 2024-03-04 20:48:22 UTC

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