ROGER T RYDSTROM DDS 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

ROGER T

Last Name

RYDSTROM

Suffix

DDS

Business Name

ROGER T RYDSTROM DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005