RYAN LEE RADER DMD - Dentist License in Missouri | # 31*****34

RYAN LEE RADER DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

LEE

Last Name

RADER

Suffix

DMD

Business Name

RYAN LEE RADER DMD

Original Issue Date

09/26/2005

Effective Date

12/18/2021

Expiration Date

09/30/2024

State

MO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/04/2025