THOMAS MICHAEL BODNAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083753

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

MICHAEL

Last Name

BODNAR

Business Name

THOMAS MICHAEL BODNAR MD

Original Issue Date

06/22/2024

Effective Date

06/22/2024

Expiration Date

06/21/2027

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2024