STACY M RAVIV Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113373

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

RAVIV

Business Name

STACY M RAVIV

Original Issue Date

04/01/2005

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023