PREM NATH DUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045480

License Status

NOT RENEWED

Business

First Name

PREM NATH

Last Name

DUA

Suffix

Business Name

PREM NATH DUA MD

Original Issue Date

03/27/1972

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017