License holder summary

PREM FORT is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for PREM FORT is Tinton Falls NJ 07753. This medical practitioner license is not current. The license was granted 05/26/2010 and expired on 12/31/2010.

Department of State

Board of Medicine

PREM FORT
Medical Physician And Surgeon
License number
MD440162
Date granted
05/26/2010
Date expires
12/31/2010
Class
Medical Physician And Surgeon
Status
Expired
Address
Tinton Falls NJ 07753
medicinepa.com
ID 37611372
LAST UPDATED 2024-03-24 23:34:44 UTC

This website is unaffiliated with the Board of Medicine. Please verify all information directly with the relevant official government authority.

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