PAUL RYAN WUCKA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058721

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

RYAN

Last Name

WUCKA

Business Name

PAUL RYAN WUCKA DO

Original Issue Date

08/01/2013

Effective Date

08/01/2013

Expiration Date

07/31/2015

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

03/24/2014