PHIMON ATSAWASUWAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002435

License Status

ACTIVE

Business

First Name

PHIMON

Last Name

ATSAWASUWAN

Suffix

DDS

Business Name

PHIMON ATSAWASUWAN DDS

Original Issue Date

11/21/2011

Effective Date

05/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

05/24/2024