JUSTIN RYAN ANDRADA DO - Medical Doctor License in Illinois | # 125079964

JUSTIN RYAN ANDRADA DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079964

License Status

CANCELLED

Business

N

Title

DO

First Name

JUSTIN RYAN

Last Name

ANDRADA

Business Name

JUSTIN RYAN ANDRADA DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/08/2025