ASHVINI PRIYA PREMKUMAR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

ASHVINI

Middle

PRIYA

Last Name

PREMKUMAR

Business Name

ASHVINI PRIYA PREMKUMAR

Original Issue Date

07/24/2008

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023