EKATERINA RAVIKOVICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101047

License Status

NOT RENEWED

Business

First Name

EKATERINA

Last Name

RAVIKOVICH

Business Name

EKATERINA RAVIKOVICH

Original Issue Date

08/17/1999

Effective Date

08/17/1999

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006