YAROSLAV DANIEL BODNAR MD Medical Doctor License verification

Business Entity

CLOSED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070456

License Status

CLOSED

Business

Title

First Name

YAROSLAV

Middle

DANIEL

Last Name

BODNAR

Business Name

YAROSLAV DANIEL BODNAR MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

04/29/2020