PHILLIP R KRAVETZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033409

License Status

EXPIRED

Business

Title

First Name

PHILLIP

Middle

Last Name

KRAVETZ

Business Name

PHILLIP R KRAVETZ MD

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/03/2009