Information as of 11/21/2019

Last Updated by Licensee on 07/11/2019

Samuel Du Bose Ravenel - MD
License#: 
Issue Date: 
14283
06/18/1964
License Status: 
Renewal Date:
Active  
07/30/2020  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 14283 06/18/1964 
Inactive License
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
New York
Out of Country Active/Inactive Licenses
None Reported