KELLY WALSH RYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

WALSH

Last Name

RYAN

Business Name

KELLY WALSH RYAN MD

Original Issue Date

02/28/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023