V D M PRASADA RAVELLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056978

License Status

INACTIVE

Business

First Name

V D M

Middle

PRASADA

Last Name

RAVELLA

Suffix

Business Name

V D M PRASADA RAVELLA MD

Original Issue Date

06/28/1978

Effective Date

06/28/1978

Expiration Date

07/31/2002

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006