EKKAWIT CHANCHORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138141

License Status

NOT RENEWED

Business

Title

First Name

EKKAWIT

Last Name

CHANCHORN

Business Name

EKKAWIT CHANCHORN MD

Original Issue Date

06/02/2015

Effective Date

05/13/2020

Expiration Date

07/31/2023

City

SAN FRANCISCO

State

Zip

94109

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023