MICHAEL FRIEDRICH JOHANNES BODE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

FRIEDRICH JOHANNES

Last Name

BODE

Business Name

MICHAEL FRIEDRICH JOHANNES BODE

Original Issue Date

08/11/2021

Effective Date

08/11/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023