RICHARD C REVIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087013

License Status

INACTIVE

Business

First Name

RICHARD C

Last Name

REVIS

Suffix

Business Name

RICHARD C REVIS MD

Original Issue Date

07/28/1993

Effective Date

07/28/1993

Expiration Date

07/31/1996

City

PALO ALTO

State

Zip

94306

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006