JUAN J BONILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

JUAN J

Last Name

BONILLA

Suffix

Business Name

JUAN J BONILLA MD

Original Issue Date

07/27/1992

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023