RYAN SCOTT SHONKWILER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

First Name

RYAN

Middle

SCOTT

Last Name

SHONKWILER

Business Name

RYAN SCOTT SHONKWILER

Original Issue Date

06/25/2019

Effective Date

09/14/2024

Expiration Date

09/30/2027

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/14/2024