VIRGINIA BONILLA OD - Optometrist License in Indiana | # 046010640

VIRGINIA BONILLA OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010640

License Status

INACTIVE

Business

N

Title

OD

First Name

VIRGINIA

Last Name

BONILLA

Business Name

VIRGINIA BONILLA OD

Original Issue Date

04/26/2013

Effective Date

04/26/2013

Expiration Date

03/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

01/09/2014