Indiana
Professional Licensing Agency
Leo Bonaventura
Controlled Substance Registration - Physician
License number
01022970B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
American Health Network of Indiana, LLC, 12188 B North Meridian St., Suite 330, Carmel IN 46032
indianalicensing.org
ID 5831180
LAST UPDATED 2024-03-28 15:13:42 UTC
LAST UPDATED 2024-03-28 15:13:42 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.