RYAN M BAILEY DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

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

05/09/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009