RYAN DONALD BUCKLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001149

License Status

EXPIRED

Business

Title

First Name

RYAN

Middle

DONALD

Last Name

BUCKLEY

Business Name

RYAN DONALD BUCKLEY MD

Original Issue Date

04/10/2017

Effective Date

04/10/2017

Expiration Date

05/09/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Allergy and Immunology

Ever Disciplined

LastModifiedDate

07/19/2017