PANITA CHIEMMONGKOLTIP - Medical Doctor License in Illinois | # 125031291

PANITA CHIEMMONGKOLTIP

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031291

License Status

EXPIRED

Business

N

First Name

PANITA

Last Name

CHIEMMONGKOLTIP

Business Name

PANITA CHIEMMONGKOLTIP

Original Issue Date

05/20/1994

Effective Date

05/20/1994

Expiration Date

06/23/1997

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006