JATEEN PREMA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115139

License Status

NOT RENEWED

Business

First Name

JATEEN

Last Name

PREMA

Business Name

JATEEN PREMA

Original Issue Date

01/23/2006

Effective Date

07/29/2008

Expiration Date

07/31/2011

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011