RYAN RIDGWAY SULLIVAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

RIDGWAY

Last Name

SULLIVAN

Business Name

RYAN RIDGWAY SULLIVAN MD

Original Issue Date

04/06/2016

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023