PREMA V SANNE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

PREMA V

Last Name

SANNE

Business Name

PREMA V SANNE

Original Issue Date

12/22/2017

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

WEST DES MOINES

State

Zip

50266

County

NEW JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023