ASHWATH RAVISANKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084615

License Status

ACTIVE

Business

Title

First Name

ASHWATH

Last Name

RAVISANKAR

Business Name

ASHWATH RAVISANKAR MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

05/16/2024