ASANEE LERTSBURAPA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045099

License Status

NOT RENEWED

Business

First Name

ASANEE

Last Name

LERTSBURAPA

Suffix

Business Name

ASANEE LERTSBURAPA MD

Original Issue Date

01/12/1972

Effective Date

04/20/2020

Expiration Date

07/31/2023

City

BIG ROCK

State

Zip

60511

County

KANE

Ever Disciplined

LastModifiedDate

11/30/2023