LAURIE R RYZNYK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

Last Name

RYZNYK

Business Name

LAURIE R RYZNYK

Original Issue Date

03/26/2001

Effective Date

02/02/2022

Expiration Date

03/01/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025