JONATHAN JAMES RODEN DMD - Dentist License in Kentucky | # 31*****70

JONATHAN JAMES RODEN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

JONATHAN

Middle

JAMES

Last Name

RODEN

Business Name

JONATHAN JAMES RODEN DMD

Original Issue Date

06/28/2012

Effective Date

06/28/2012

Expiration Date

09/30/2015

State

KY

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

N

LastModifiedDate

02/08/2016