RAVI BOTLA MD - Medical Doctor License in Illinois | # 125025177

RAVI BOTLA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025177

License Status

EXPIRED

Business

N

First Name

RAVI

Last Name

BOTLA

Suffix

MD

Business Name

RAVI BOTLA MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006