Indiana
Professional Licensing Agency
Robert L. Bonham, D.D.S.
Radiology - Radiation Facility Dental
License number
XF901449
Date granted
04/29/2004
Date expires
09/11/2015
Class
Radiology - Radiation Facility Dental
Status
Active
Address
1222 Lincolnway East, South Bend IN 46601-3729
indianalicensing.org
ID 24935784
LAST UPDATED 2024-02-25 05:53:36 UTC
LAST UPDATED 2024-02-25 05:53:36 UTC
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