BRANDON CHARLES BODAGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162810

License Status

ACTIVE

Business

Title

First Name

BRANDON

Middle

CHARLES

Last Name

BODAGER

Business Name

BRANDON CHARLES BODAGER MD

Original Issue Date

11/03/2022

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/06/2023