RYAN JAMES NIEHAUS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055001

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

JAMES

Last Name

NIEHAUS

Business Name

RYAN JAMES NIEHAUS DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/14/2008