JOHN RYAN WILLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

JOHN

Middle

RYAN

Last Name

WILLIS

Suffix

Business Name

JOHN RYAN WILLIS MD

Original Issue Date

03/14/2003

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023