RYAN RICHARD TEAHEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

RYAN

Middle

RICHARD

Last Name

TEAHEN

Business Name

RYAN RICHARD TEAHEN

Original Issue Date

10/08/2021

Effective Date

07/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2024