RYAN JAMES DAVIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

RYAN

Middle

JAMES

Last Name

DAVIS

Suffix

DMD

Business Name

RYAN JAMES DAVIS DMD

Original Issue Date

07/20/2010

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/01/2025