PHIMON ATSAWASUWAN DDS - Dentist License in Illinois | # 021002435

PHIMON ATSAWASUWAN DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002435

License Status

ACTIVE

Business

N

First Name

PHIMON

Last Name

ATSAWASUWAN

Suffix

DDS

Business Name

PHIMON ATSAWASUWAN DDS

Original Issue Date

11/21/2011

Effective Date

05/24/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

N

LastModifiedDate

05/24/2024