PRIYANKA P AGRAWAL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

PRIYANKA

Middle

Last Name

AGRAWAL

Business Name

PRIYANKA P AGRAWAL DO

Original Issue Date

10/11/2023

Effective Date

10/11/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/11/2023