SUBHASHISH AGARWAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045167

License Status

EXPIRED

Business

First Name

SUBHASHISH

Last Name

AGARWAL

Suffix

Business Name

SUBHASHISH AGARWAL MD

Original Issue Date

06/21/2002

Effective Date

06/21/2002

Expiration Date

06/30/2005

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006