SOMPONG BUMROONGSUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047793

License Status

NOT RENEWED

Business

First Name

SOMPONG

Last Name

BUMROONGSUK

Suffix

Business Name

SOMPONG BUMROONGSUK MD

Original Issue Date

08/23/1973

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2003006985

Action

Fine

Discipline Start Date

12/12/2003