RAVI BHALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079970

License Status

NOT RENEWED

Business

First Name

RAVI

Last Name

BHALLA

Suffix

Business Name

RAVI BHALLA MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006