RAVINDRA NATH BATHINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052407

License Status

NOT RENEWED

Business

First Name

RAVINDRA NATH

Last Name

BATHINA

Suffix

Business Name

RAVINDRA NATH BATHINA MD

Original Issue Date

03/11/1976

Effective Date

03/11/1976

Expiration Date

07/31/2002

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006