DEAN RYAN DAVIS MD - Physician Assistant License in Illinois | # 085001606

DEAN RYAN DAVIS MD

Business Entity

CANCELLED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001606

License Status

CANCELLED

Business

N

Title

MD

First Name

DEAN

Middle

RYAN

Last Name

DAVIS

Business Name

DEAN RYAN DAVIS MD

Original Issue Date

07/17/2001

Effective Date

02/03/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

11/20/2017