RYAN AVERY BIRLEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

AVERY

Last Name

BIRLEW

Business Name

RYAN AVERY BIRLEW MD

Original Issue Date

06/05/2013

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017