DANIEL KARL BODEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000260

License Status

NOT RENEWED

Business

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

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/04/2025