RYAN JAMES LEVENHAGEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065339

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

JAMES

Last Name

LEVENHAGEN

Business Name

RYAN JAMES LEVENHAGEN DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/16/2014