RYAN JAMES NIEHAUS DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****48

NOT RENEWED

N

DO

RYAN

JAMES

NIEHAUS

RYAN JAMES NIEHAUS DO

08/03/2010

08/03/2010

07/31/2011

CHICAGO

IL

60640

COOK

PRACTITIONER

II III IV V

N

11/10/2011