JOHN BOZDECH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

INACTIVE

Business

First Name

JOHN

Last Name

BOZDECH

Suffix

Business Name

JOHN BOZDECH MD

Original Issue Date

12/30/2010

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020