TRACY BETH RAVIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039425

License Status

EXPIRED

Business

First Name

TRACY

Middle

BETH

Last Name

RAVIN

Suffix

Business Name

TRACY BETH RAVIN MD

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006