ANDREA BONI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139961

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Last Name

BONI

Business Name

ANDREA BONI MD

Original Issue Date

03/08/2016

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

LAS CRUCES

State

Zip

88005

Ever Disciplined

LastModifiedDate

01/14/2021