MARK DANIEL RYAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

MARK

Middle

DANIEL

Last Name

RYAN

Suffix

DDS

Business Name

MARK DANIEL RYAN DDS

Original Issue Date

06/04/2012

Effective Date

06/01/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2024