RYAN JAVIER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

Title

DMD

First Name

RYAN

Last Name

JAVIER

Business Name

RYAN JAVIER DMD

Original Issue Date

07/27/2023

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

RANTOUL

State

Zip

61866

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2024