ULANA R BODNAR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027072

License Status

EXPIRED

Business

First Name

ULANA R

Last Name

BODNAR

Business Name

ULANA R BODNAR

Original Issue Date

06/05/1991

Effective Date

06/05/1991

Expiration Date

06/30/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006