NICHOLAS A BODMER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054724

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

Last Name

BODMER

Business Name

NICHOLAS A BODMER MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2009

City

MINOCQUA

State

Zip

54548

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/15/2009