SURESH KUMAR AGARWAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

Title

First Name

SURESH

Middle

KUMAR

Last Name

AGARWAL

Business Name

SURESH KUMAR AGARWAL MD

Original Issue Date

07/25/2013

Effective Date

09/02/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

11/01/2017