ROSS CHARLES RYAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

ROSS

Middle

CHARLES

Last Name

RYAN

Suffix

DDS

Business Name

ROSS CHARLES RYAN DDS

Original Issue Date

02/02/2012

Effective Date

01/07/2013

Expiration Date

09/30/2015

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016