KENNETH JOSEPH BONIFACE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

KENNETH JOSEPH

Last Name

BONIFACE JR

Suffix

Business Name

KENNETH JOSEPH BONIFACE JR MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CINCINNATI

State

Zip

45208

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006