RYAN W LANGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004906

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

LANGE

Business Name

RYAN W LANGE

Original Issue Date

10/16/2013

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020