D THANE CODY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

Middle

THANE

Last Name

CODY

Suffix

Business Name

D THANE CODY MD

Original Issue Date

09/01/1998

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CORDOVA

State

Zip

61242

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023