YUTTANA CHAWENGSUB MD - Medical Doctor License in Illinois | # 125063902

YUTTANA CHAWENGSUB MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063902

License Status

EXPIRED

Business

N

First Name

YUTTANA

Last Name

CHAWENGSUB

Suffix

MD

Business Name

YUTTANA CHAWENGSUB MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

06/26/2016

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/16/2016