VIRGINIA BONILLA OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010640

License Status

INACTIVE

Business

Title

First Name

VIRGINIA

Last Name

BONILLA

Business Name

VIRGINIA BONILLA OD

Original Issue Date

04/26/2013

Effective Date

04/26/2013

Expiration Date

03/31/2014

City

HEBRON

State

Zip

46341

County

INDIANA

Ever Disciplined

LastModifiedDate

01/09/2014