RYAN RICHARD DEDELS DMD - Dentist License in Illinois | # 019025932

RYAN RICHARD DEDELS DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025932

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005