RYAN W LANGE - Physician Assistant License in Illinois | # 085004906

RYAN W LANGE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004906

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

W

Last Name

LANGE

Business Name

RYAN W LANGE

Original Issue Date

10/16/2013

Effective Date

02/20/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020