AVINASH RAVILLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160451

License Status

ACTIVE

Business

Title

First Name

AVINASH

Last Name

RAVILLA

Business Name

AVINASH RAVILLA DO

Original Issue Date

05/02/2022

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PLYMOUTH

State

Zip

48170

County

WAYNE

Ever Disciplined

LastModifiedDate

12/03/2024