DONNA M BODNAR - Medical Doctor License in Illinois | # 125025064

DONNA M BODNAR

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025064

License Status

EXPIRED

Business

N

First Name

DONNA

Middle

M

Last Name

BODNAR

Business Name

DONNA M BODNAR

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006