ROBERT EDWARD RYAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006347

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

EDWARD

Last Name

RYAN

Business Name

ROBERT EDWARD RYAN

Original Issue Date

09/13/2017

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ASHTON

State

Zip

20861

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/24/2020