URAIWAN CHUNTHARUSMI MD - Medical Doctor License in Illinois | # 036047785

URAIWAN CHUNTHARUSMI MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047785

License Status

INACTIVE

Business

N

First Name

URAIWAN

Last Name

CHUNTHARUSMI

Suffix

MD

Business Name

URAIWAN CHUNTHARUSMI MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006