RYAN MCCARTHY LUSTENBERGER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

MCCARTHY

Last Name

LUSTENBERGER

Business Name

RYAN MCCARTHY LUSTENBERGER MD

Original Issue Date

01/30/2015

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023