SOPHIA N BODNAR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068339

License Status

CANCELLED

Business

Title

First Name

SOPHIA

Middle

Last Name

BODNAR

Business Name

SOPHIA N BODNAR DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/28/2016