License holder summary

RAVI SHANKAR VENKATA CHIVUKULA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for RAVI SHANKAR VENKATA CHIVUKULA is Dekalb IL 60115. This medical practitioner license is not current. The license was granted 07/12/2005 and expired on 09/02/2009.

Department of State

Board of Medicine

RAVI SHANKAR VENKATA CHIVUKULA
Graduate Medical Trainee
License number
MT187350
Date granted
07/12/2005
Date expires
09/02/2009
Class
Graduate Medical Trainee
Status
Expired
Address
Dekalb IL 60115
medicinepa.com
ID 37524728
LAST UPDATED 2026-04-12 00:11:10 UTC

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