RAVI BOTLA MD - Medical Doctor License in Minnesota | # 036084710

RAVI BOTLA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084710

License Status

INACTIVE

Business

N

First Name

RAVI

Last Name

BOTLA

Suffix

MD

Business Name

RAVI BOTLA MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1993

State

MN

Ever Disciplined

N

LastModifiedDate

09/20/2006