JAMES JAY RYAN DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****38

NOT RENEWED

N

JAMES JAY

RYAN

DDS

JAMES JAY RYAN DDS

01/01/1998

09/30/2000

EAST PEORIA

IL

61611

TAZEWELL

II III IV V

N

10/17/2005