ELLEN K BODE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006496

License Status

ACTIVE

Business

First Name

ELLEN K

Last Name

BODE

Business Name

ELLEN K BODE

Original Issue Date

08/01/1987

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

08/09/2024