RYAN WYN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

RYAN

Last Name

WYN

Suffix

DDS

Business Name

RYAN WYN DDS

Original Issue Date

01/15/1999

Effective Date

01/15/1999

Expiration Date

09/30/2000

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005