BALAKRISHNA RAVELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161206

License Status

ACTIVE

Business

Title

First Name

BALAKRISHNA

Last Name

RAVELLA

Business Name

BALAKRISHNA RAVELLA MD

Original Issue Date

07/06/2022

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

04/13/2023