KATHLEEN DIANE RYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

KATHLEEN

Middle

DIANE

Last Name

RYAN

Business Name

KATHLEEN DIANE RYAN MD

Original Issue Date

04/17/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011