PAUL ANTHONY RAVENNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

ANTHONY

Last Name

RAVENNA

Business Name

PAUL ANTHONY RAVENNA MD

Original Issue Date

12/30/2014

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023