BALAKRISHNA RAVELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

BALAKRISHNA

Last Name

RAVELLA

Business Name

BALAKRISHNA RAVELLA MD

Original Issue Date

07/08/2022

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023