RAVI VENKATA DURVASULA

Controlled Substance Registration - Physician

Indiana  01051852B   Expired

This Indiana license was held by RAVI VENKATA DURVASULA. The license is no longer active. It was granted on 12/16/1999 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01051852B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 12/16/1999 (over 25 years ago)
  • Expiry Date: 06/30/2001 (almost 24 years ago)

LOCATIONS

A Address

MEDICAL SPECIALISTS PC, 761 45TH ST STE 103, MUNSTER IN 46321