URAIWAN CHUNTHARUSMI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047785

License Status

INACTIVE

Business

First Name

URAIWAN

Last Name

CHUNTHARUSMI

Suffix

Business Name

URAIWAN CHUNTHARUSMI MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1996

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006