RYAN AUSTIN DORNBIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

AUSTIN

Last Name

DORNBIER

Business Name

RYAN AUSTIN DORNBIER MD

Original Issue Date

01/27/2020

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023