PREMA V SANNE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030300

License Status

EXPIRED

Business

First Name

PREMA V

Last Name

SANNE

Business Name

PREMA V SANNE

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006