KELLY ANNE RYAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054133

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

ANNE

Last Name

RYAN

Business Name

KELLY ANNE RYAN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/08/2008