PREETI NANAK DEMBLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037253

License Status

EXPIRED

Business

First Name

PREETI

Middle

NANAK

Last Name

DEMBLA

Suffix

Business Name

PREETI NANAK DEMBLA MD

Original Issue Date

01/01/1998

Effective Date

01/01/1998

Expiration Date

12/31/2000

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006