JATEEN PREMA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042675

License Status

EXPIRED

Business

First Name

JATEEN

Last Name

PREMA

Business Name

JATEEN PREMA

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006