RYAN G MANECKE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033602

License Status

EXPIRED

Business

First Name

RYAN G

Last Name

MANECKE

Business Name

RYAN G MANECKE

Original Issue Date

06/27/1995

Effective Date

06/27/1995

Expiration Date

06/30/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006