RODA JEAN MENA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

Title

DDS

First Name

RODA

Middle

JEAN

Last Name

MENA

Business Name

RODA JEAN MENA DDS

Original Issue Date

06/24/2022

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2024