GARY L BODIFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137117

License Status

NOT RENEWED

Business

Title

First Name

GARY

Middle

Last Name

BODIFORD

Business Name

GARY L BODIFORD MD

Original Issue Date

01/20/2015

Effective Date

01/20/2015

Expiration Date

07/31/2017

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/01/2017