KOWIT PUTAKHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046288

License Status

NOT RENEWED

Business

First Name

KOWIT

Last Name

PUTAKHAM

Suffix

Business Name

KOWIT PUTAKHAM MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006