PREM LATA BHATIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061636

License Status

ACTIVE

Business

First Name

PREM LATA

Last Name

BHATIA

Suffix

Business Name

PREM LATA BHATIA MD

Original Issue Date

02/11/1981

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

PEORIA

Ever Disciplined

LastModifiedDate

04/20/2023