CHATCHANAN AUSAVARUNGNIRUN MD - Medical Doctor License in Illinois | # 125083760

CHATCHANAN AUSAVARUNGNIRUN MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083760

License Status

ACTIVE

Business

N

Title

MD

First Name

CHATCHANAN

Last Name

AUSAVARUNGNIRUN

Business Name

CHATCHANAN AUSAVARUNGNIRUN MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

State

IL

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

N

LastModifiedDate

05/12/2024