MARC E BODDICKER MD - Medical Doctor License in South Dakota | # 33*****96

MARC E BODDICKER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

N

First Name

MARC

Middle

E

Last Name

BODDICKER

Suffix

MD

Business Name

MARC E BODDICKER MD

Original Issue Date

07/11/2007

Effective Date

04/23/2014

Expiration Date

07/31/2017

State

SD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020