SUDSUKH THONGTHAMMACHAT DDS - Dentist License in Illinois | # 018001203

SUDSUKH THONGTHAMMACHAT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001203

License Status

NOT RENEWED

Business

N

First Name

SUDSUKH

Last Name

THONGTHAMMACHAT

Suffix

DDS

Business Name

SUDSUKH THONGTHAMMACHAT DDS

Original Issue Date

05/08/2000

Effective Date

05/08/2000

Expiration Date

06/30/2001

State

IL

Specialty/Qualifier

Maxillofacial Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005