SHRI K AGRAWAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

INACTIVE

Business

First Name

SHRI

Middle

Last Name

AGRAWAL

Suffix

Business Name

SHRI K AGRAWAL MD

Original Issue Date

03/19/1985

Effective Date

06/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020