PRADIT DONCHUANCHOM MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002652

License Status

NOT RENEWED

Business

Business Name

PRADIT DONCHUANCHOM MD SC

Original Issue Date

04/19/1976

Effective Date

04/19/1976

Expiration Date

01/01/1987

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006