RAVI BHALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

RAVI

Last Name

BHALLA

Suffix

Business Name

RAVI BHALLA MD

Original Issue Date

08/17/1990

Effective Date

08/17/1990

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006