JUGAL T RAVAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

JUGAL

Middle

Last Name

RAVAL

Business Name

JUGAL T RAVAL MD

Original Issue Date

10/24/2013

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021