PRIYANKA P AGRAWAL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067606

License Status

EXPIRED

Business

Title

First Name

PRIYANKA

Middle

Last Name

AGRAWAL

Business Name

PRIYANKA P AGRAWAL DO

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018