GABRIEL RYAN KLEINMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

GABRIEL

Middle

RYAN

Last Name

KLEINMAN

Business Name

GABRIEL RYAN KLEINMAN MD

Original Issue Date

02/03/2015

Effective Date

02/03/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017