RAVI MEDI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

CANCELLED

Business

First Name

RAVI

Last Name

MEDI

Business Name

RAVI MEDI

Original Issue Date

09/11/1987

Effective Date

09/11/1987

Expiration Date

07/31/1990

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006