CHARLES GERARD BODE DMD - Dentist License in Illinois | # 019015702

CHARLES GERARD BODE DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015702

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005