KYLE ANDREW BONAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

KYLE

Middle

ANDREW

Last Name

BONAR

Business Name

KYLE ANDREW BONAR MD

Original Issue Date

05/20/2019

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

BERKELEY

State

Zip

94709

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023