ALFRED L BONJEAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046434

License Status

NOT RENEWED

Business

First Name

ALFRED L

Last Name

BONJEAN

Suffix

Business Name

ALFRED L BONJEAN MD

Original Issue Date

09/18/1972

Effective Date

09/18/1972

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006