Indiana
Professional Licensing Agency
Leslie M. Bodnar
Controlled Substance Registration - Physician
License number
01015382B
Date granted
04/30/1985
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1737 W. Northshore Drive, South Bend IN 46617
indianalicensing.org
ID 5921542
LAST UPDATED 2024-02-06 22:29:37 UTC
LAST UPDATED 2024-02-06 22:29:37 UTC
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