RUDR RUDRAVANIJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047345

License Status

NOT RENEWED

Business

First Name

RUDR

Last Name

RUDRAVANIJA

Suffix

Business Name

RUDR RUDRAVANIJA MD

Original Issue Date

04/23/1973

Effective Date

04/23/1973

Expiration Date

07/31/1984

City

WILLOWBROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006