RYAN M BAILEY DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000663

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

BAILEY

Suffix

DDS MD

Business Name

RYAN M BAILEY DDS MD

Original Issue Date

09/06/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

11/04/2009