RYAN LEE RADER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

LEE

Last Name

RADER

Suffix

DMD

Business Name

RYAN LEE RADER DMD

Original Issue Date

09/26/2005

Effective Date

12/18/2021

Expiration Date

09/30/2024

City

SAINT CHARLES

State

Zip

63304

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025