License holder summary

RAVI VARMA DATLA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for RAVI VARMA DATLA is Glen Allen VA 23060. This medical practitioner license is not current. The license was granted 05/11/2005 and expired on 06/26/2008.

Department of State

Board of Medicine

RAVI VARMA DATLA
Graduate Medical Trainee
License number
MT186124
Date granted
05/11/2005
Date expires
06/26/2008
Class
Graduate Medical Trainee
Status
Inactive
Address
Glen Allen VA 23060
medicinepa.com
ID 37528017
LAST UPDATED 2024-02-28 01:52:16 UTC

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