PHAIBUL KOSAPHANDHU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048745

License Status

NOT RENEWED

Business

First Name

PHAIBUL

Last Name

KOSAPHANDHU

Suffix

Business Name

PHAIBUL KOSAPHANDHU MD

Original Issue Date

02/05/1974

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017