MICHAEL J RYAN - Dentist License in Illinois | # 018000667

MICHAEL J RYAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000667

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

J

Last Name

RYAN

Business Name

MICHAEL J RYAN

Original Issue Date

07/20/1992

Effective Date

07/20/1992

Expiration Date

07/20/1994

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005