SUDHA AGRAWAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

SUDHA

Last Name

AGRAWAL

Suffix

Business Name

SUDHA AGRAWAL MD

Original Issue Date

09/09/1981

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021