LEO M BONAVENTURA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095989

License Status

NOT RENEWED

Business

Title

First Name

LEO

Middle

Last Name

BONAVENTURA

Business Name

LEO M BONAVENTURA MD

Original Issue Date

07/09/1997

Effective Date

07/31/2008

Expiration Date

07/31/2011

City

CARMEL

State

Zip

46032

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011