FRANKLIN FRED PREMUDA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032539

License Status

INACTIVE

Business

First Name

FRANKLIN FRED

Last Name

PREMUDA

Suffix

Business Name

FRANKLIN FRED PREMUDA MD

Original Issue Date

11/27/1953

Effective Date

11/27/1953

Expiration Date

07/31/1987

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006