RYAN MICHAEL LANE - Physician Assistant License in Illinois | # 085007301

RYAN MICHAEL LANE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007301

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

MICHAEL

Last Name

LANE

Business Name

RYAN MICHAEL LANE

Original Issue Date

09/23/2019

Effective Date

09/23/2019

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020