License holder summary

Prema Modak is a Medicine - Postgraduate Physician Trainee licensed to practice in District of Columbia. The address on file for Prema Modak is George Washington University Hospital, Ophthalmology, George Washington University Hospital, Washington DC 20037. This licensed professional license is not current. The license was granted 07/01/2004 and expired on 07/01/2005.

District of Columbia

Department of Consumer and Regulatory Affairs

Prema Modak
Medicine - Postgraduate Physician Trainee
License number
114793
Date granted
07/01/2004
Date expires
07/01/2005
Class
Medicine - Postgraduate Physician Trainee
Status
Expired
Address
George Washington University Hospital, Ophthalmology, George Washington University Hospital, Washington DC 20037
dclicensing.com
ID 20189421
LAST UPDATED 2026-04-20 05:00:40 UTC

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