PREMA NANAVATY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138746

License Status

ACTIVE

Business

Title

First Name

PREMA

Last Name

NANAVATY

Business Name

PREMA NANAVATY MD

Original Issue Date

07/21/2015

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

07/18/2023