CODY ALLEN GASS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DMD

First Name

CODY

Middle

ALLEN

Last Name

GASS

Business Name

CODY ALLEN GASS DMD

Original Issue Date

06/05/2017

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024