PRANJAL M AGRAWAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

PRANJAL

Middle

Last Name

AGRAWAL

Business Name

PRANJAL M AGRAWAL

Original Issue Date

07/03/2007

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023