MANOUCHER RAVAEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

MANOUCHER

Last Name

RAVAEE

Suffix

Business Name

MANOUCHER RAVAEE MD

Original Issue Date

01/01/1997

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021