DONNA M BHISITKUL - Medical Doctor License in Illinois | # 125021106

DONNA M BHISITKUL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021106

License Status

EXPIRED

Business

N

First Name

DONNA M

Last Name

BHISITKUL

Business Name

DONNA M BHISITKUL

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

06/24/1990

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006