ALEXANDRA ANNE RYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

ANNE

Last Name

RYAN

Suffix

Business Name

ALEXANDRA ANNE RYAN MD

Original Issue Date

10/25/2004

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023