SUDSUKH THONGTHAMMACHAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001203

License Status

NOT RENEWED

Business

First Name

SUDSUKH

Last Name

THONGTHAMMACHAT

Suffix

DDS

Business Name

SUDSUKH THONGTHAMMACHAT DDS

Original Issue Date

05/08/2000

Effective Date

05/08/2000

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Maxillofacial Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005