CHARLES GERARD BODE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015702

License Status

NOT RENEWED

Business

First Name

CHARLES GERARD

Last Name

BODE

Suffix

DMD

Business Name

CHARLES GERARD BODE DMD

Original Issue Date

09/20/1976

Effective Date

09/20/1976

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005