RYANE LEIGH WALSH 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

RYANE

Middle

LEIGH

Last Name

WALSH

Business Name

RYANE LEIGH WALSH

Original Issue Date

08/16/2010

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

12/28/2015