EDMUND C BODKIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032295

License Status

NOT RENEWED

Business

First Name

EDMUND C

Last Name

BODKIN

Suffix

Business Name

EDMUND C BODKIN MD

Original Issue Date

09/02/1953

Effective Date

09/02/1953

City

HAUPPAUGE

State

Zip

11787

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006