THOMAS EDWARD RYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

THOMAS EDWARD

Last Name

RYAN

Suffix

Business Name

THOMAS EDWARD RYAN MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1993

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017