JONATHAN JAMES RODEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

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

City

LEXINGTON

State

Zip

40514

County

KENTUCKY

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

02/08/2016