BUDDHAPOOM WANGSRIMONGKOL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002230

License Status

ACTIVE

Business

First Name

BUDDHAPOOM

Last Name

WANGSRIMONGKOL

Business Name

BUDDHAPOOM WANGSRIMONGKOL

Original Issue Date

11/21/2022

Effective Date

11/21/2022

Expiration Date

11/21/2025

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/21/2022