RAVI KOOPOT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046199

License Status

INACTIVE

Business

First Name

RAVI

Last Name

KOOPOT

Suffix

Business Name

RAVI KOOPOT MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85013

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006