GORDON A BODZIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111859

License Status

NOT RENEWED

Business

First Name

GORDON

Middle

Last Name

BODZIN

Business Name

GORDON A BODZIN

Original Issue Date

07/14/2004

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

BEACHWOOD

State

Zip

44122

Ever Disciplined

LastModifiedDate

11/17/2014