THOMAS MICHAEL BODEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111004

License Status

ACTIVE

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

BODEN

Suffix

Business Name

THOMAS MICHAEL BODEN MD

Original Issue Date

03/15/2004

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

EDINA

State

Zip

55435

Ever Disciplined

LastModifiedDate

06/18/2023