KANIKA YADAV RYAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

Title

DMD

First Name

KANIKA

Middle

YADAV

Last Name

RYAN

Business Name

KANIKA YADAV RYAN DMD

Original Issue Date

07/01/2021

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2024