THOMAS MICHAEL BODNAR MD - Medical Doctor License in Illinois | # 125083753

THOMAS MICHAEL BODNAR MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083753

License Status

ACTIVE

Business

N

Title

MD

First Name

THOMAS

Middle

MICHAEL

Last Name

BODNAR

Business Name

THOMAS MICHAEL BODNAR MD

Original Issue Date

06/22/2024

Effective Date

06/22/2024

Expiration Date

06/21/2027

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/09/2024