UDOM ERJONGMANEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046896

License Status

NOT RENEWED

Business

First Name

UDOM

Last Name

ERJONGMANEE

Suffix

Business Name

UDOM ERJONGMANEE MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006