PICHET SANTILUKKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046325

License Status

NOT RENEWED

Business

First Name

PICHET

Last Name

SANTILUKKA

Suffix

Business Name

PICHET SANTILUKKA MD

Original Issue Date

08/17/1972

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

REDBUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

01/14/2021