RICHARD CHARLES BODIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

RICHARD CHARLES

Last Name

BODIE

Suffix

Business Name

RICHARD CHARLES BODIE MD

Original Issue Date

01/01/1997

Effective Date

08/04/2008

Expiration Date

07/31/2011

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011