MICHAEL A RYAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

RYAN

Business Name

MICHAEL A RYAN

Original Issue Date

06/20/1988

Effective Date

06/20/1988

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005