PREM NATH DUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

PREM NATH

Last Name

DUA

Suffix

Business Name

PREM NATH DUA MD

Original Issue Date

10/16/1987

Effective Date

06/26/2014

Expiration Date

07/31/2017

City

BALLWIN

State

Zip

63021

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017