RYAN GLEN ETCHISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

GLEN

Last Name

ETCHISON

Business Name

RYAN GLEN ETCHISON MD

Original Issue Date

06/08/2020

Effective Date

06/08/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023