RYAN M BAILEY DDS MD 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

RYAN

Middle

Last Name

BAILEY

Suffix

DDS MD

Business Name

RYAN M BAILEY DDS MD

Original Issue Date

01/03/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009