NATH CHONGSUWAT MD - Medical Doctor License in Illinois | # 125067782

NATH CHONGSUWAT MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067782

License Status

CANCELLED

Business

N

Title

MD

First Name

NATH

Last Name

CHONGSUWAT

Business Name

NATH CHONGSUWAT MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/22/2015