LATHA RAVI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072768

License Status

NOT RENEWED

Business

First Name

LATHA

Last Name

RAVI

Suffix

Business Name

LATHA RAVI MD

Original Issue Date

06/02/1986

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021