License holder summary

PHILLIP MICHAEL CULLISON BONNER is a Medical - Physician With A Temporary Permit To Practice Medicine licensed to practice in Alaska. The address on file for PHILLIP MICHAEL CULLISON BONNER is 1901 NE 67TH AVE #130 PORTLAND OR 97213. This licensed professional license is current. The license was granted 06/27/2013 and expired on 12/27/2013.

Alaska

Division of Corporations, Business and Professional Licensing

PHILLIP MICHAEL CULLISON BONNER
Medical - Physician With A Temporary Permit To Practice Medicine
License number
7861
Date granted
06/27/2013
Date expires
12/27/2013
Class
Medical - Physician With A Temporary Permit To Practice Medicine
Status
Licensed
Address
1901 NE 67TH AVE #130 PORTLAND OR 97213
alaskalicensing.com
ID 20458704
LAST UPDATED 2024-02-25 13:44:55 UTC

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