ASHVINI PRIYA PREMKUMAR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121408

License Status

ACTIVE

Business

First Name

ASHVINI

Middle

PRIYA

Last Name

PREMKUMAR

Business Name

ASHVINI PRIYA PREMKUMAR

Original Issue Date

07/03/2008

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023