RYAN M BAILEY DDS MD - Dentist License in Illinois | # 137000663

RYAN M BAILEY DDS MD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000663

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

M

Last Name

BAILEY

Suffix

DDS MD

Business Name

RYAN M BAILEY DDS MD

Original Issue Date

09/06/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

State

IL

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

11/04/2009