JACOB RYAN KRISHER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

Title

DMD

First Name

JACOB

Middle

RYAN

Last Name

KRISHER

Business Name

JACOB RYAN KRISHER DMD

Original Issue Date

09/23/2021

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024