MYRON O BODNAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083948

License Status

NOT RENEWED

Business

First Name

MYRON O

Last Name

BODNAR

Suffix

Business Name

MYRON O BODNAR MD

Original Issue Date

02/03/1992

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2011