DEJA ANGSURAT MD - Medical Doctor License in Illinois | # 036045930

DEJA ANGSURAT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045930

License Status

INACTIVE

Business

N

First Name

DEJA

Last Name

ANGSURAT

Suffix

MD

Business Name

DEJA ANGSURAT MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006