JUSTIN RYAN ANDRADA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079964

License Status

CANCELLED

Business

Title

First Name

JUSTIN RYAN

Last Name

ANDRADA

Business Name

JUSTIN RYAN ANDRADA DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/08/2025