SOMCHAI SUPAWANICH MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002285

License Status

CANCELLED

Business

Business Name

SOMCHAI SUPAWANICH MD SC

Original Issue Date

02/18/1975

Effective Date

02/18/1975

Expiration Date

01/01/2002

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

09/26/2006