ASHWIN M KANSAGRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

ASHWIN M

Last Name

KANSAGRA

Suffix

Business Name

ASHWIN M KANSAGRA MD

Original Issue Date

05/29/1996

Effective Date

05/29/1996

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006