RAVI SRINIVASA RAMAKRISHNA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056122

License Status

CANCELLED

Business

Title

First Name

RAVI

Middle

SRINIVASA

Last Name

RAMAKRISHNA

Business Name

RAVI SRINIVASA RAMAKRISHNA DO

Original Issue Date

10/10/2013

Effective Date

10/10/2013

Expiration Date

10/09/2014

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014