License holder summary

Gerald Edwin Gonnella is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Gerald Edwin Gonnella is Lakeshore Bone & Joint Institute, 601 Gateway Blvd. N, Chesterton IN 46304. This licensed professional license is current. The license was granted 07/29/2011 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Gerald Edwin Gonnella
Controlled Substance Registration-Physician Assistant
License number
10000264B
Date granted
07/29/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Lakeshore Bone & Joint Institute, 601 Gateway Blvd. N, Chesterton IN 46304
indianalicensing.org
ID 8386082
LAST UPDATED 2024-04-05 20:43:49 UTC

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