PAUL REVIS, M.D., S.C. Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042620658

License Status

NOT RENEWED

Business

Business Name

PAUL REVIS, M.D., S.C.

Original Issue Date

05/26/2017

Effective Date

11/12/2021

Expiration Date

01/01/2025

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/03/2025