License holder summary

JUAN J BONILLA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JUAN J BONILLA is Cardiac Surgery Associates, 801 McArthur Blvd Suite 204, Munster IN 46321. This licensed professional license is current. The license was granted 07/23/1998 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JUAN J BONILLA
Controlled Substance Registration - Physician
License number
01049084B
Date granted
07/23/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Cardiac Surgery Associates, 801 McArthur Blvd Suite 204, Munster IN 46321
indianalicensing.org
ID 5900668
LAST UPDATED 2024-02-27 13:03:46 UTC

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