BARRY H BODIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

BARRY H

Last Name

BODIE

Suffix

Business Name

BARRY H BODIE MD

Original Issue Date

07/26/1994

Effective Date

07/26/1994

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006