JACQUELINE MARIE HEFFERNAN RYABOY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

MARIE HEFFERNAN

Last Name

RYABOY

Business Name

JACQUELINE MARIE HEFFERNAN RYABOY MD

Original Issue Date

06/10/2022

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023