RYAN ELSTON BOOTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

Title

DDS

First Name

RYAN

Middle

ELSTON

Last Name

BOOTH

Business Name

RYAN ELSTON BOOTH DDS

Original Issue Date

07/07/2014

Effective Date

03/20/2017

Expiration Date

09/30/2018

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/31/2018