RYAN RICHARD DEDELS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

RICHARD

Last Name

DEDELS

Suffix

DMD

Business Name

RYAN RICHARD DEDELS DMD

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005