RYAN L COOLEY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

CANCELLED

Business

First Name

RYAN

Middle

Last Name

COOLEY

Business Name

RYAN L COOLEY

Original Issue Date

02/22/2002

Effective Date

02/22/2002

Expiration Date

07/31/2005

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006