GHANSHYAM D AGARWAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

GHANSHYAM

Middle

Last Name

AGARWAL

Business Name

GHANSHYAM D AGARWAL

Original Issue Date

04/16/2001

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023