RYAN J SPENCER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

Last Name

SPENCER

Business Name

RYAN J SPENCER MD

Original Issue Date

06/28/2016

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023