MICHAEL FRIEDRICH JOHANNES BODE - Medical Doctor License in Illinois | # 036157978

MICHAEL FRIEDRICH JOHANNES BODE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157978

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

FRIEDRICH JOHANNES

Last Name

BODE

Business Name

MICHAEL FRIEDRICH JOHANNES BODE

Original Issue Date

08/09/2021

Effective Date

08/09/2021

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023