License holder summary

Jennifer Leigh Bonafede is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jennifer Leigh Bonafede is Provience Retirement Home, 4915 Charlestown Rd., New Albany IN 47150. This licensed professional license is not current. The license was granted 02/27/2009 and expired on 06/30/2010.

Indiana

Professional Licensing Agency

Jennifer Leigh Bonafede
Controlled Substance Registration-Physician Assistant
License number
10001068B
Date granted
02/27/2009
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Provience Retirement Home, 4915 Charlestown Rd., New Albany IN 47150
indianalicensing.org
ID 8388112
LAST UPDATED 2024-03-23 04:41:45 UTC

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