GARY BODNARCHUK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****61

NOT RENEWED

N

GARY

BODNARCHUK

MD

GARY BODNARCHUK MD

04/27/1987

03/21/2013

07/31/2014

PADUCAH

KY

42001

KENTUCKY

II III IV V

N

04/11/2017