NICHOLAS MICHAEL SBRAVATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083670

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

MICHAEL

Last Name

SBRAVATI

Business Name

NICHOLAS MICHAEL SBRAVATI MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/16/2024