MICHAEL J RYAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

RYAN

Business Name

MICHAEL J RYAN

Original Issue Date

01/07/1988

Effective Date

01/07/1988

Expiration Date

09/30/1988

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005