ZAC BRENDAN RAVAGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045036

License Status

EXPIRED

Business

First Name

ZAC

Middle

BRENDAN

Last Name

RAVAGE

Suffix

Business Name

ZAC BRENDAN RAVAGE MD

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/16/2003

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006