KORNVIVAT YINGSERY - Podiatrist License in Illinois | # 016003843

KORNVIVAT YINGSERY

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003843

License Status

NOT RENEWED

Business

N

First Name

KORNVIVAT

Last Name

YINGSERY

Business Name

KORNVIVAT YINGSERY

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

01/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

08/03/2018