ALPA BHANU RAVAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

ALPA

Middle

BHANU

Last Name

RAVAL

Suffix

Business Name

ALPA BHANU RAVAL MD

Original Issue Date

10/07/2005

Effective Date

10/07/2005

Expiration Date

07/31/2008

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008