RYAN W LANGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

LANGE

Business Name

RYAN W LANGE

Original Issue Date

11/18/2013

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020