BADAL J RAVAL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

CANCELLED

Business

First Name

BADAL J

Last Name

RAVAL

Business Name

BADAL J RAVAL

Original Issue Date

08/25/1997

Effective Date

08/25/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/09/2006