DANIEL MICHAEL RYAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064397

License Status

CANCELLED

Business

First Name

DANIEL

Middle

MICHAEL

Last Name

RYAN

Suffix

Business Name

DANIEL MICHAEL RYAN MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

01/19/2017