BRANDON CHARLES BODAGER MD - Medical Doctor License in Illinois | # 036162810

BRANDON CHARLES BODAGER MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162810

License Status

ACTIVE

Business

N

Title

MD

First Name

BRANDON

Middle

CHARLES

Last Name

BODAGER

Business Name

BRANDON CHARLES BODAGER MD

Original Issue Date

11/03/2022

Effective Date

07/22/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

10/06/2023