RYAN C HEADLEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042630

License Status

EXPIRED

Business

First Name

RYAN

Middle

Last Name

HEADLEY

Business Name

RYAN C HEADLEY

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006