BENJAMIN T RYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077788

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

Last Name

RYAN

Business Name

BENJAMIN T RYAN MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/19/2024