RAVI VENKATA DURVASULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

RAVI

Middle

VENKATA

Last Name

DURVASULA

Business Name

RAVI VENKATA DURVASULA MD

Original Issue Date

09/25/2018

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023