RYAN RIDGWAY SULLIVAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059580

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

RIDGWAY

Last Name

SULLIVAN

Business Name

RYAN RIDGWAY SULLIVAN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/24/2014