RYAN CHARLES MASSINOPLE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

Title

DDS

First Name

RYAN

Middle

CHARLES

Last Name

MASSINOPLE

Business Name

RYAN CHARLES MASSINOPLE DDS

Original Issue Date

07/24/2023

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024