The holder whose full name is Bodnarchuk, Brian Raymond,come from Lexington KY,hold the Medical Residency Permit license(NO.11017132A) which status is Expired.
| Name | Bodnarchuk, Brian Raymond |
|---|---|
| License Number | 11017132A |
| License Type | Medical Residency Permit |
| License Status | Expired |
| City | Lexington |
| State | KY |