ZAC BRENDAN RAVAGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

ZAC

Middle

BRENDAN

Last Name

RAVAGE

Suffix

Business Name

ZAC BRENDAN RAVAGE MD

Original Issue Date

04/05/2006

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023