KATHLEEN DIANE RYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120562

License Status

NOT RENEWED

Business

Title

First Name

KATHLEEN

Middle

DIANE

Last Name

RYAN

Business Name

KATHLEEN DIANE RYAN MD

Original Issue Date

04/14/2008

Effective Date

04/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011