RYAN WYN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001102

License Status

NOT RENEWED

Business

First Name

RYAN

Last Name

WYN

Suffix

DDS

Business Name

RYAN WYN DDS

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

06/30/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005