RYAN LEE LO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058600

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

LEE

Last Name

Business Name

RYAN LEE LO MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

01/19/2011