YAROSLAV DANIEL BODNAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

YAROSLAV

Middle

DANIEL

Last Name

BODNAR

Business Name

YAROSLAV DANIEL BODNAR MD

Original Issue Date

09/21/2021

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023