CLODAGH THERESE RYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

CLODAGH

Middle

THERESE

Last Name

RYAN

Suffix

Business Name

CLODAGH THERESE RYAN MD

Original Issue Date

05/14/2021

Effective Date

05/14/2021

Expiration Date

07/31/2023

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023