PHIMON ATSAWASUWAN DDS - Dentist License in Illinois | # 018001700

PHIMON ATSAWASUWAN DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001700

License Status

EXPIRED

Business

N

First Name

PHIMON

Last Name

ATSAWASUWAN

Suffix

DDS

Business Name

PHIMON ATSAWASUWAN DDS

Original Issue Date

07/08/2008

Effective Date

07/08/2008

Expiration Date

05/30/2011

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

07/07/2011