License holder summary

Ravi Datla Raju is a Physician licensed to practice in Indiana. The address on file for Ravi Datla Raju is Fort Wayne IN 46804. This licensed professional license is current. The license was granted 04/24/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ravi Datla Raju
Physician
License number
01046566A
Date granted
04/24/1997
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Fort Wayne IN 46804
indianalicensing.org
ID 6053795
LAST UPDATED 2024-01-28 12:19:51 UTC

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