SHILPA B RAVAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099242

License Status

NOT RENEWED

Business

First Name

SHILPA

Middle

Last Name

RAVAL

Business Name

SHILPA B RAVAL

Original Issue Date

10/27/1998

Effective Date

10/27/1998

Expiration Date

07/31/2005

City

CHIPPEWA FALLS

State

Zip

54729

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006