DEVASHISH AGARWAL MD - Medical Doctor License in Illinois | # 125046914

DEVASHISH AGARWAL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046914

License Status

EXPIRED

Business

N

Title

MD

First Name

DEVASHISH

Last Name

AGARWAL

Business Name

DEVASHISH AGARWAL MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

05/23/2007