GHANSHYAM D AGARWAL - Medical Doctor License in Illinois | # 125035544

GHANSHYAM D AGARWAL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035544

License Status

EXPIRED

Business

N

First Name

GHANSHYAM

Middle

D

Last Name

AGARWAL

Business Name

GHANSHYAM D AGARWAL

Original Issue Date

09/18/1996

Effective Date

09/18/1996

Expiration Date

09/08/1999

State

IL

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006