USHA RAVI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074627

License Status

EXPIRED

Business

Title

First Name

USHA

Last Name

RAVI

Business Name

USHA RAVI MD

Original Issue Date

09/01/2019

Effective Date

09/01/2019

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

02/15/2023