RYAN ALBERT JOHN CAMPAGNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

ALBERT JOHN

Last Name

CAMPAGNA

Business Name

RYAN ALBERT JOHN CAMPAGNA MD

Original Issue Date

07/05/2017

Effective Date

04/21/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023