RYAN J NIEMIC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

Title

DDS

First Name

RYAN

Middle

Last Name

NIEMIC

Business Name

RYAN J NIEMIC DDS

Original Issue Date

07/28/2010

Effective Date

07/28/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012