VIDYA RAGHAVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147840

License Status

NOT RENEWED

Business

Title

First Name

VIDYA

Last Name

RAGHAVAN

Business Name

VIDYA RAGHAVAN MD

Original Issue Date

12/07/2018

Effective Date

12/07/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

01/14/2021