EKATERINA RAVIKOVICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036873

License Status

EXPIRED

Business

First Name

EKATERINA

Last Name

RAVIKOVICH

Business Name

EKATERINA RAVIKOVICH

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

06/30/2000

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006