JOSE AMIR BONILLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176016

License Status

ACTIVE

Business

Title

First Name

JOSE

Middle

AMIR

Last Name

BONILLA

Business Name

JOSE AMIR BONILLA MD

Original Issue Date

07/11/2025

Effective Date

07/11/2025

Expiration Date

07/31/2026

City

SOUTH SALT LAKE

State

Zip

84106

Ever Disciplined

LastModifiedDate

07/11/2025