JAYANT P AGARWAL - Medical Doctor License in Illinois | # 125041620

JAYANT P AGARWAL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041620

License Status

EXPIRED

Business

N

First Name

JAYANT

Middle

P

Last Name

AGARWAL

Business Name

JAYANT P AGARWAL

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006