ANIMESH AGARWAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

ANIMESH

Last Name

AGARWAL

Business Name

ANIMESH AGARWAL MD

Original Issue Date

02/18/2021

Effective Date

02/18/2021

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023