RYAN STEPHEN SHEPPARD DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001719

License Status

EXPIRED

Business

First Name

RYAN

Middle

STEPHEN

Last Name

SHEPPARD

Suffix

DMD

Business Name

RYAN STEPHEN SHEPPARD DMD

Original Issue Date

04/21/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/08/2010