RYAN STEVEN DESCAMP MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073541

License Status

CANCELLED

Business

Title

First Name

RYAN

Middle

STEVEN

Last Name

DESCAMP

Business Name

RYAN STEVEN DESCAMP MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/16/2019