RYAN PAUL LANGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159002

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

PAUL

Last Name

LANGE

Business Name

RYAN PAUL LANGE MD

Original Issue Date

12/15/2021

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

Ever Disciplined

LastModifiedDate

05/04/2023