RAVI VENKATA DURVASULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147183

License Status

NOT RENEWED

Business

Title

First Name

RAVI

Middle

VENKATA

Last Name

DURVASULA

Business Name

RAVI VENKATA DURVASULA MD

Original Issue Date

08/13/2018

Effective Date

09/02/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023