RYAN G MANECKE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

RYAN G

Last Name

MANECKE

Business Name

RYAN G MANECKE

Original Issue Date

11/26/1997

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023