SUCHAT PONGLORPISITA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048043

License Status

NOT RENEWED

Business

First Name

SUCHAT

Last Name

PONGLORPISITA

Suffix

Business Name

SUCHAT PONGLORPISITA MD

Original Issue Date

08/23/1973

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017