Cody Phen Dmd
ExpiredIllinois license 019034992
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019034992
- Status
- Expired (Not Renewed)
- First issued
- March 27, 2024
- Expired
- September 30, 2024
- License holder
- Cody Phen
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 03/27/2024
Contact
Ahoskie, NC 27910