License holder summary

Bonnie K Revere is a Physician Assistant - Medical licensed to practice in New Mexico. This licensed professional license is not current. The license was granted 11/18/1997 and expired on 11/09/1998.

New Mexico

Regulation & Licensing Department

Bonnie K Revere
Physician Assistant - Medical
License number
97-PA23
Date granted
11/18/1997
Date expires
11/09/1998
Class
Physician Assistant - Medical
Status
Inactive
licensingnm.com
ID 5287928
LAST UPDATED 2026-04-20 14:44:57 UTC

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