CODY PHEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034992

License Status

NOT RENEWED

Business

Title

DMD

First Name

CODY

Last Name

PHEN

Business Name

CODY PHEN DMD

Original Issue Date

03/27/2024

Effective Date

03/27/2024

Expiration Date

09/30/2024

City

AHOSKIE

State

Zip

27910

Ever Disciplined

LastModifiedDate

02/04/2025