KENNETH R RYBACK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

RYBACK

Suffix

DDS

Business Name

KENNETH R RYBACK DDS

Original Issue Date

09/21/2005

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022