JOHN LE ROY HODGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

JOHN LE ROY

Last Name

HODGE

Business Name

JOHN LE ROY HODGE

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

CALVERT CITY

State

Zip

42029

County

KENTUCKY

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005