NILLAWAN YONGSMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044445

License Status

INACTIVE

Business

First Name

NILLAWAN

Last Name

YONGSMITH

Suffix

Business Name

NILLAWAN YONGSMITH MD

Original Issue Date

07/09/1971

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2011