RYAN ANTHONY WILLIAMS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

ANTHONY

Last Name

WILLIAMS

Business Name

RYAN ANTHONY WILLIAMS MD

Original Issue Date

11/16/2018

Effective Date

11/16/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62902

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021