RYAN N BORGWARDT DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001765

License Status

CANCELLED

Business

Title

DDS

First Name

RYAN

Middle

Last Name

BORGWARDT

Business Name

RYAN N BORGWARDT DDS

Original Issue Date

06/16/2010

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

03/13/2015