RYAN DAVID SCULLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061894

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

DAVID

Last Name

SCULLY

Business Name

RYAN DAVID SCULLY MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/07/2013