License holder summary

Jack E. Bonham is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jack E. Bonham is St. Francis Hospital, 8111 S. Emerson Avenue, Indianapolis IN 46237. This licensed professional license is current. The license was granted 08/26/2011 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Jack E. Bonham
Controlled Substance Registration-Physician Assistant
License number
10001193B
Date granted
08/26/2011
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Francis Hospital, 8111 S. Emerson Avenue, Indianapolis IN 46237
indianalicensing.org
ID 8387167
LAST UPDATED 2024-03-06 23:49:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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