NICHOLAS A BODMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

Last Name

BODMER

Business Name

NICHOLAS A BODMER MD

Original Issue Date

05/13/2013

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017