MICHAEL RYAN GREAVES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002292

License Status

ACTIVE

Business

Title

DDS

First Name

MICHAEL

Middle

RYAN

Last Name

GREAVES

Business Name

MICHAEL RYAN GREAVES DDS

Original Issue Date

08/05/2024

Effective Date

08/05/2024

Expiration Date

06/30/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

08/05/2024