DANIEL THOMAS BODINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

DANIEL THOMAS

Last Name

BODINE

Suffix

DDS

Business Name

DANIEL THOMAS BODINE DDS

Original Issue Date

01/01/1998

Effective Date

09/04/2018

Expiration Date

01/31/2022

City

WORTH

State

Zip

60482

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022

Case Number

1987002410

Action

Probation

Discipline Start Date

06/15/1988

Discipline End Date

06/15/1989