VISHWANATH AGRAWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

VISHWANATH

Last Name

AGRAWAL

Suffix

Business Name

VISHWANATH AGRAWAL MD

Original Issue Date

05/17/1994

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023