GARY BODNARCHUK MD - Medical Doctor License in Illinois | # 125019441

GARY BODNARCHUK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019441

License Status

EXPIRED

Business

N

First Name

GARY

Last Name

BODNARCHUK

Suffix

MD

Business Name

GARY BODNARCHUK MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

06/26/1989

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006