RAVI MEDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

RAVI

Last Name

MEDI

Business Name

RAVI MEDI

Original Issue Date

08/26/1993

Effective Date

08/26/1993

Expiration Date

07/31/1996

City

DECATUR

State

Zip

62524

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006