RYAN MCCARTHY LUSTENBERGER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059189

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

MCCARTHY

Last Name

LUSTENBERGER

Business Name

RYAN MCCARTHY LUSTENBERGER MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/03/2011