PREETI NANAK DEMBLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

CANCELLED

Business

First Name

PREETI

Middle

NANAK

Last Name

DEMBLA

Suffix

Business Name

PREETI NANAK DEMBLA MD

Original Issue Date

10/26/2000

Effective Date

10/26/2000

Expiration Date

07/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006