PREMALATHA NANDKUMAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067962

License Status

ACTIVE

Business

First Name

PREMALATHA

Last Name

NANDKUMAR

Suffix

Business Name

PREMALATHA NANDKUMAR MD

Original Issue Date

11/16/1983

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023