MONA R BODA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110663

License Status

NOT RENEWED

Business

First Name

MONA

Middle

Last Name

BODA

Business Name

MONA R BODA

Original Issue Date

01/08/2004

Effective Date

01/08/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006