RAVEN ERICA ADAMS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075926

License Status

CANCELLED

Business

Title

First Name

RAVEN

Middle

ERICA

Last Name

ADAMS

Business Name

RAVEN ERICA ADAMS DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/19/2020