RYAN PATRICK CARRICK MD - Medical Doctor License in Illinois | # 125048194

RYAN PATRICK CARRICK MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048194

License Status

EXPIRED

Business

N

First Name

RYAN

Middle

PATRICK

Last Name

CARRICK

Suffix

MD

Business Name

RYAN PATRICK CARRICK MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007