SUREN RAVURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055593

License Status

CANCELLED

Business

Title

First Name

SUREN

Last Name

RAVURI

Business Name

SUREN RAVURI MD

Original Issue Date

01/01/2009

Effective Date

01/01/2009

Expiration Date

12/31/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

12/17/2008