ROLANDO BONILLA HENRIQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

ROLANDO BONILLA

Last Name

HENRIQUEZ

Suffix

Business Name

ROLANDO BONILLA HENRIQUEZ MD

Original Issue Date

10/13/1993

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023