GORDON A BODZIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036491

License Status

EXPIRED

Business

First Name

GORDON

Middle

Last Name

BODZIN

Business Name

GORDON A BODZIN

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

08/15/2003

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2013