DONNA M BODNAR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025064

License Status

EXPIRED

Business

First Name

DONNA

Middle

Last Name

BODNAR

Business Name

DONNA M BODNAR

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006