BAMPEN CHARO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046854

License Status

NOT RENEWED

Business

First Name

BAMPEN

Last Name

CHARO

Suffix

Business Name

BAMPEN CHARO MD

Original Issue Date

02/07/1973

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

11/01/2017