SHALINI RAVELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

SHALINI

Last Name

RAVELLA

Business Name

SHALINI RAVELLA MD

Original Issue Date

10/05/2012

Effective Date

08/26/2023

Expiration Date

07/31/2026

City

MINNEAPOLIS

State

Zip

55436

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2023