DANIEL KARL BODEN - Dentist License in Illinois | # 136000260

DANIEL KARL BODEN

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000260

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

KARL

Last Name

BODEN

Business Name

DANIEL KARL BODEN

Original Issue Date

12/15/2020

Effective Date

01/25/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025