MAMATA RAVIPATI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038858

License Status

EXPIRED

Business

First Name

MAMATA

Last Name

RAVIPATI

Suffix

Business Name

MAMATA RAVIPATI MD

Original Issue Date

09/04/1998

Effective Date

09/04/1998

Expiration Date

09/03/2001

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006