TAL RAVIV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099904

License Status

NOT RENEWED

Business

First Name

TAL

Last Name

RAVIV

Suffix

Business Name

TAL RAVIV MD

Original Issue Date

03/25/1999

Effective Date

03/25/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006