FRED S BODKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088249

License Status

NOT RENEWED

Business

First Name

FRED S

Last Name

BODKER

Business Name

FRED S BODKER

Original Issue Date

04/07/1994

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

OVERLAND PARK

State

Zip

66204

County

KANSAS

Ever Disciplined

LastModifiedDate

11/01/2017