SHUBHAM AGARWAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074081

License Status

EXPIRED

Business

Title

First Name

SHUBHAM

Last Name

AGARWAL

Business Name

SHUBHAM AGARWAL MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022