SHILPA RAVELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

SHILPA

Last Name

RAVELLA

Business Name

SHILPA RAVELLA MD

Original Issue Date

06/24/2010

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017