DAVID JOSEPH RYAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055868

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

JOSEPH

Last Name

RYAN

Business Name

DAVID JOSEPH RYAN MD

Original Issue Date

06/29/2005

Effective Date

06/29/2005

Expiration Date

06/28/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/22/2009