KATHLEEN DIANE RYAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049067

License Status

EXPIRED

Business

Title

First Name

KATHLEEN

Middle

DIANE

Last Name

RYAN

Business Name

KATHLEEN DIANE RYAN MD

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/31/2008