DEVASHISH AGARWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114850

License Status

ACTIVE

Business

Title

First Name

DEVASHISH

Last Name

AGARWAL

Business Name

DEVASHISH AGARWAL MD

Original Issue Date

11/08/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61528

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/07/2023