THIP SRIPHAISAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048856

License Status

NOT RENEWED

Business

First Name

THIP

Last Name

SRIPHAISAL

Suffix

Business Name

THIP SRIPHAISAL MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006