RYAN W KLOHR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

KLOHR

Suffix

DMD

Business Name

RYAN W KLOHR DMD

Original Issue Date

06/28/2004

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012