RYAN PAUL LANGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069168

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

PAUL

Last Name

LANGE

Business Name

RYAN PAUL LANGE MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2017

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/19/2017