LISA ANN RYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

ANN

Last Name

RYAN

Business Name

LISA ANN RYAN MD

Original Issue Date

08/05/2019

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

SUGAR GROVE

State

Zip

60554

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023