FRED S BODKER - Medical Doctor License in Illinois | # 125025409

FRED S BODKER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025409

License Status

EXPIRED

Business

N

First Name

FRED

Middle

S

Last Name

BODKER

Business Name

FRED S BODKER

Original Issue Date

06/11/1990

Effective Date

06/11/1990

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

09/22/2006