JONATHAN GEORGE BARDAHL DO - Medical Doctor License in Illinois | # 125070431

JONATHAN GEORGE BARDAHL DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070431

License Status

EXPIRED

Business

N

Title

DO

First Name

JONATHAN

Middle

GEORGE

Last Name

BARDAHL

Business Name

JONATHAN GEORGE BARDAHL DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

11/19/2020