CODY JAMES WHITWORTH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

CODY

Middle

JAMES

Last Name

WHITWORTH

Business Name

CODY JAMES WHITWORTH

Original Issue Date

07/06/2019

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024