SAKUL JATCHAVALA PIYAKA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047050

License Status

INACTIVE

Business

First Name

SAKUL JATCHAVALA

Last Name

PIYAKA

Suffix

Business Name

SAKUL JATCHAVALA PIYAKA MD

Original Issue Date

02/07/1973

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014