MAMATA RAVIPATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104010

License Status

ACTIVE

Business

First Name

MAMATA

Last Name

RAVIPATI

Suffix

Business Name

MAMATA RAVIPATI MD

Original Issue Date

01/10/2001

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/05/2023