P LUANGKESORN MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002293

License Status

NOT RENEWED

Business

Business Name

P LUANGKESORN MD SC

Original Issue Date

03/05/1975

Effective Date

03/05/1975

Expiration Date

01/01/1990

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006