License holder summary

Josephine A. Bongiovanni is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Josephine A. Bongiovanni is CPI: Parkside Internal Medicine, 9669 E. 146th St., Suite 200, Noblesville IN 46060. This licensed professional license is current. The license was granted 09/26/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Josephine A. Bongiovanni
Controlled Substance Registration - Physician
License number
01071755B
Date granted
09/26/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CPI: Parkside Internal Medicine, 9669 E. 146th St., Suite 200, Noblesville IN 46060
indianalicensing.org
ID 5907002
LAST UPDATED 2024-04-24 14:45:55 UTC

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