RAVI K BERRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069834

License Status

NOT RENEWED

Business

First Name

RAVI K

Last Name

BERRY

Suffix

Business Name

RAVI K BERRY MD

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006