RYAN DAVID HILLAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025554

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

DAVID

Last Name

HILLAM

Business Name

RYAN DAVID HILLAM

Original Issue Date

06/01/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FLORHAM PARK

State

Zip

07932

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

11/08/2006