DEVASHISH AGARWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

DEVASHISH

Last Name

AGARWAL

Business Name

DEVASHISH AGARWAL MD

Original Issue Date

11/14/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61528

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023