SURENDRA PRAKASH AGARWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

SURENDRA PRAKASH

Last Name

AGARWAL

Suffix

Business Name

SURENDRA PRAKASH AGARWAL MD

Original Issue Date

07/05/1985

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023