PRAVIT TANPRASERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048873

License Status

NOT RENEWED

Business

First Name

PRAVIT

Last Name

TANPRASERT

Suffix

Business Name

PRAVIT TANPRASERT MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006