CHANIKARN CHANGSRI MD - Medical Doctor License in Illinois | # 125039123

CHANIKARN CHANGSRI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039123

License Status

CANCELLED

Business

N

First Name

CHANIKARN

Last Name

CHANGSRI

Suffix

MD

Business Name

CHANIKARN CHANGSRI MD

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

06/27/2002

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006