MARY A RAVELO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022850

License Status

EXPIRED

Business

First Name

MARY

Middle

Last Name

RAVELO

Business Name

MARY A RAVELO

Original Issue Date

06/22/1988

Effective Date

06/22/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006