RYAN WAYNE ANDRIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

RYAN

Middle

WAYNE

Last Name

ANDRIS

Business Name

RYAN WAYNE ANDRIS

Original Issue Date

08/05/2013

Effective Date

06/15/2024

Expiration Date

09/30/2027

City

CARLOCK

State

Zip

61725

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2024