RYAN ANTHONY GORMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168720

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

ANTHONY

Last Name

GORMAN

Business Name

RYAN ANTHONY GORMAN DO

Original Issue Date

02/14/2024

Effective Date

02/14/2024

Expiration Date

07/31/2026

City

FARMINGTON

State

Zip

06032

Ever Disciplined

LastModifiedDate

02/14/2024