RYAN RICHARD DEDELS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025932

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

RICHARD

Last Name

DEDELS

Suffix

DMD

Business Name

RYAN RICHARD DEDELS DMD

Original Issue Date

08/12/2002

Effective Date

08/12/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005