RAVISHANKAR PRATHIBHA GUBBI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042849

License Status

CANCELLED

Business

First Name

RAVISHANKAR

Middle

PRATHIBHA

Last Name

GUBBI

Suffix

Business Name

RAVISHANKAR PRATHIBHA GUBBI MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006