RYAN WESLEY CLAYTON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DMD

First Name

RYAN

Middle

WESLEY

Last Name

CLAYTON

Business Name

RYAN WESLEY CLAYTON DMD

Original Issue Date

06/06/2017

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

POLO

State

Zip

61064

County

OGLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024