RYAN JAMES DAVIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000883

License Status

ACTIVE

Business

First Name

RYAN

Middle

JAMES

Last Name

DAVIS

Suffix

DMD

Business Name

RYAN JAMES DAVIS DMD

Original Issue Date

11/25/2013

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/01/2024