BRAJESH KUMAR AGRAWAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

BRAJESH

Middle

KUMAR

Last Name

AGRAWAL

Suffix

Business Name

BRAJESH KUMAR AGRAWAL MD

Original Issue Date

04/22/2011

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017