License holder summary

Anil Vinay Ravi Date MD is a Medical Doctor licensed to practice in Arizona. The address on file for Anil Vinay Ravi Date MD is Polaris Medical Group, 101 Civic Center Lane, Lake Havasu City AZ 86403. This licensed professional license is not current. The license was granted 04/19/2012.

Arizona

Board of Licensing

Anil Vinay Ravi Date MD
Medical Doctor
License number
46302
Date granted
04/19/2012
Class
Medical Doctor
Status
Expired
Address
Polaris Medical Group, 101 Civic Center Lane, Lake Havasu City AZ 86403
arizonalicensing.com
ID 22117904
LAST UPDATED 2026-06-01 09:23:55 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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