KELLY ANNE RYAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127676

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

ANNE

Last Name

RYAN

Business Name

KELLY ANNE RYAN MD

Original Issue Date

04/22/2011

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

PORTLAND

State

Zip

97221

County

OREGON

Ever Disciplined

LastModifiedDate

11/17/2014