CHANACHAI MEMARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046760

License Status

NOT RENEWED

Business

First Name

CHANACHAI

Last Name

MEMARK

Suffix

Business Name

CHANACHAI MEMARK MD

Original Issue Date

01/23/1973

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017