RADHA AGRAWAL 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

First Name

RADHA

Last Name

AGRAWAL

Suffix

Business Name

RADHA AGRAWAL MD

Original Issue Date

04/07/2005

Effective Date

04/07/2005

Expiration Date

07/31/2008

City

BERWYN

State

Zip

60402

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008