DEVASHISH AGARWAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046914

License Status

EXPIRED

Business

Title

First Name

DEVASHISH

Last Name

AGARWAL

Business Name

DEVASHISH AGARWAL MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/23/2007