KODY WYANT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159929

License Status

ACTIVE

Business

Title

First Name

KODY

Last Name

WYANT

Business Name

KODY WYANT DO

Original Issue Date

03/22/2022

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

02/15/2024