ALPA BHANU RAVAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113975

License Status

NOT RENEWED

Business

First Name

ALPA

Middle

BHANU

Last Name

RAVAL

Suffix

Business Name

ALPA BHANU RAVAL MD

Original Issue Date

06/22/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

07/09/2009