KAMLESH S MACWAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081637

License Status

ACTIVE

Business

First Name

KAMLESH S

Last Name

MACWAN

Suffix

Business Name

KAMLESH S MACWAN MD

Original Issue Date

11/09/1990

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

Ever Disciplined

LastModifiedDate

04/10/2023