RAVI BOTLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084710

License Status

INACTIVE

Business

First Name

RAVI

Last Name

BOTLA

Suffix

Business Name

RAVI BOTLA MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1993

City

ROCHESTER

State

Zip

55901

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006