ELIZABETH MARIE BODKIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045951

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

MARIE

Last Name

BODKIN

Suffix

Business Name

ELIZABETH MARIE BODKIN DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006