PREM KUMAR MUNJAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

PREM KUMAR

Last Name

MUNJAL

Suffix

Business Name

PREM KUMAR MUNJAL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008