PRIYANKA P AGRAWAL DO - Medical Doctor License in Illinois | # 125067606

PRIYANKA P AGRAWAL DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067606

License Status

EXPIRED

Business

N

Title

DO

First Name

PRIYANKA

Middle

P

Last Name

AGRAWAL

Business Name

PRIYANKA P AGRAWAL DO

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/25/2018