Indiana
Professional Licensing Agency
Ernesto Bonilla
Controlled Substance Registration - Physician
License number
01049723B
Date granted
04/22/1999
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Indiana Health Centers, Inc, 3118 SOUTH LAFOUNTAIN, Kokomo IN 46902
indianalicensing.org
ID 5875996
LAST UPDATED 2024-03-19 17:43:05 UTC
LAST UPDATED 2024-03-19 17:43:05 UTC
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