The holder whose full name is Bodnar, James Patrick,come from Lexington KY,hold the Temporary MD Permit license(NO.99042191A) which status is Superceded.
| Name | Bodnar, James Patrick |
|---|---|
| License Number | 99042191A |
| License Type | Temporary MD Permit |
| License Status | Superceded |
| City | Lexington |
| State | KY |