SEAN ROBERT RYAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

Title

DMD

First Name

SEAN

Middle

ROBERT

Last Name

RYAN

Business Name

SEAN ROBERT RYAN DMD

Original Issue Date

07/08/2020

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2024