MACKENZIE RYAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001619

License Status

EXPIRED

Business

Title

First Name

MACKENZIE

Last Name

RYAN

Business Name

MACKENZIE RYAN DO

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

07/24/2024

City

CHICAGO

State

Zip

60612

County

WHITESIDE

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

01/08/2025