REVITAL MICHELLE MARCUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131122

License Status

ACTIVE

Business

Title

First Name

REVITAL

Middle

MICHELLE

Last Name

MARCUS

Business Name

REVITAL MICHELLE MARCUS MD

Original Issue Date

08/10/2012

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2025