ANITA AGARWAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046892

License Status

EXPIRED

Business

First Name

ANITA

Last Name

AGARWAL

Suffix

Business Name

ANITA AGARWAL MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006