RAVI BABU PAVURALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125977

License Status

NOT RENEWED

Business

Title

First Name

RAVI

Middle

BABU

Last Name

PAVURALA

Business Name

RAVI BABU PAVURALA MD

Original Issue Date

06/08/2010

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017