MARY PREM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119219

License Status

ACTIVE

Business

Title

First Name

MARY

Last Name

PREM

Business Name

MARY PREM MD

Original Issue Date

08/17/2007

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/02/2023